Registration: 2015 Holistic Life Coaching Certification Question Title * 1. Enter your contact information. Full Name Best Email Address Best Phone Number Question Title * 2. Choose a LEVEL for your Holistic Life Coaching Certification: Certification Level Apprentice Level Independent Study Level Unsure, I'd like to discuss this with you. Question Title * 3. Which method will you use to complete your enrollment by paying for your program? Personal Check: Make your check out to Annie Mascelli and mail it to:1343 Penns Creek RoadCoburn, PA 16832 PayPal Account, PayPal Credit, or Paypal Financing (Choose your PayPal plan below) Unsure, I'd like to discuss this with you. Question Title * 4. Which PayPal plan works best for you? Bill me for the full amount. (Available to all Levels. Pay using your PayPal account, credit card or PayPal 6 months free financing, providing you qualify) Bill me for half now and half in 6 months, I'll use PayPal 6 months free financing to extend my payments out to one year. (Available to Certification and Apprentice Levels.) Not Applicable. Question Title * 5. Would you like to set up a half hour call with Annie to discuss the program and your questions, goals, and vision? If yes, please list the best way to reach you to set that up (email, text, phone). If no, just leave this space blank. Question Title * 6. Did someone refer you to this program? Please let me know, so I can thank them. BeWell Associates/Monica Montag or Angie Wallace Graduate of the Holistic Program at Mt. Nittany Institute, please add their name, below. Other, please add their name, below. Who referred you? Done