Credit Request Form

Please carefully fill this form out in its entirety to begin the credit request process. If approved you will will receive an official credit memo, and instructions on how to complete the process.

* Indicates required field

Name *

First

Last

Email (used to register course | coaching | consulting purchase you are seeking a credit be issued for) *

Email (to contact you) *

Confirm Email to contact you (re-enter email address) *

Country *

Course Title *

Course ID *

Course | Coaching | Consulting Payment Status *

I paid for the course in full I made a partial payment (1 of 3 payments) I made partial payments (2 of 3 payments) I made a partial payment - other

Reason/s for requesting course | coaching | consulting and requesting credit *

Credit Request Terms *

I understand & accept the terms and conditions

Credit Request Submission Effect on purchased course | coaching or consulting package *

I understand that in submitting this Credit Request, I cannot attend, join or participate in the purchased or partially paid for class, coaching or consulting package for which I have requested a credit be issued.

Coaching, Consulting, Courses Terms & Conditions

Submit