Recovery Coach and TOT Registration Form
payment of $100.00 per person is due with registration a
minimum of 21 days prior to
Day 1 of seminar.
Remaining balance to be paid in full by the first day of the 30 hour seminar.
Credit cards will be billed for the full amount.
Payment can be made using VISA, American Express, Discover or MasterCard via PayPal*, or by check or money order sent to:
9225 Bay Plaza Blvd, Suite 418
Tampa, FL 33619
Upon submission of this form, you will see a confirmation page giving you the option of using your credit card for payment.
Training will take place at the
Comfort Suites Hotel Tampa/Brandon
9932 East Adamo Dr. Tampa, FL 33619
Indicates required field
Please provide the best number to reach you in the event there are changes to the training schedule.
Training and Payment Options
Recovery Coach (RC) Training $595
Training of Trainers (TOT) $395
RC and TOT Training $990
$100 deposit by mail
Training Date Options
September 11-15, 2014
Please select the training date you are registering for.