Four Pivots Learning Journey Group Payment Form

Use the form below to purchase more than one learning journey at a time. The names and email addresses for all those taking the journey will need to be provided in order to enroll them.

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This field is for validation purposes and should be left unchanged.

Four Pivots Learning Journey

Organization Name

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name(Required)

First Last

Contact Phone Number(Required)

Contact Email Address(Required)

Enter Email Confirm Email

Registrant Information

Please add all registrants below, including their full name and email address. If you will be taking the training as well, please indicate that or include your information in the list. If registering 10 or more users please use the Bulk Upload Form available with your confirmation.

Additional Info

If a different organization then the purchaser is using the training please provide that name or other information that may be helpful in matching the purchaser to the training.

Course Selection

Select the courses below by entering the Quantity of each course to being purchased.

Four Pivots Learning Journey

Individual Course

Price: $500.00

PAYMENT INFORMATION

Acknowledgement(Required)

I have been provided and agree to the linked purchase terms and conditions, Flourish Agenda Privacy Policy and Flourish Agenda Terms of Use. I am 18 years old or older and am approved to make purchases on behalf of my company. I understand that this purchase is non-refundable and that I have six months form the date of purchase to provide a complete list of individuals who will be taking in the training.

I acknowledge this is acurrate.

Training Registration Total

Credit Card(Required)

Card Details

Cardholder Name

Card Address(Required)

Same as Organization Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country