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Winner Within - Registration

Coaching enrollment

Name * Company Address
Position Date  
Phone * Cell E-mail *



This Web site is secured with a Starfield Technologies Web Server Certificate.
Transactions on the site are protected with up to 256-bit Secure Sockets Layer encryption.

Program investment $1495/Full 6 months
 
HST $194.35
Total $1689.35

Payment Terms

5% discount for full payment $1604.88
Payment-3 monthly installments of $563.12

Credit Card Information

Credit Card type Visa Mastercard
Credit Card *
Address associated to the card *
Expiry date (mm/yy) *
**An invoice will be sent to you confirming payment


For questions or clarification on any aspect of the program, please contact:
Randy Taylor
www.taylormadeleadership.com
“Driven by Passion, Committed to Results”
7620 Yonge Street
Thornhill, Ontario
L6A 2Y5