Course Purchasing Options Request Form

In order to purchase our programs for someone other than yourself (“Purchaser”), we require the following information so that the person(s) taking the course (The User*) can get the proper access to the course materials and resources.

Please fill out the form below so we can set up the purchase options and walk you through the process.

If you are looking to purchase for a group or for your team, we can share how our Group Practice Partnership Program works, which helps you access growing discounts over time when purchasing for a group.

Are you looking to purchase for:(Required)

Name:(Required)

Email Address(Required)

For a Group Purchase, how many Users will need to be registered for the Course(s)?(Required)

Who will be purchasing the course(s)?(Required)

What payment option do you require?(Required)

Email contact for the purchaser (if different than your email above)

Course(s) users will be taking?

Any other questions you have:

CLARIFICATION of User vs Purchaser.

A “Purchaser” is the person or entity that pays for one or more people to take the Course. A “User” is the person who participates in the course, has a unique username and password, gains access to the Course materials, can earn certification for Course completion, and can participate in the Facebook group and other student support materials.