Online PT Course registration ENG • MennoHenselmans.com

Your Full Legal Name*
First Name* Last Name*
Your Email*
Your Email*
Enter Email Confirm Email
Your Billing Address**
Street and House Number City State / Province / Region ZIP / Postal Code Country
Where did you first hear about the course?
Where did you first hear about the course?
Why did you specifically choose this course (and not another)?
Why did you specifically choose this course (and not another)?
What is the link to your facebook profile?*
What is the link to your Facebook profile? It's needed to add you to the Facebook group. You can also make an empty account if you wish to stay anonymous.
Payment Method*
Choose your payment method.
- PayPal/Credit Card
- Bank Transfer
Do you want to use a monthly payment plan or pay in full with a discount?*
Do you want to use a monthly payment plan or pay in full with a discount?
- Pay in full with 5% discount ($1512,-)
- Monthly payment plan (8 x $199,-)
Bank Account Number (IBAN for non-US banks)*
Bank Account Number (IBAN for non-US banks)
Account Holder Name*
Account Holder Name
Henselmans PT Course 2019
Henselmans PT Course 2019
Terms and conditions*
I agree with the Terms and conditions
- I Agree

Paypal: After clicking enroll me now, you will be transfered to a secure Paypal checkout to finish your registration. Make sure you choose to return to the site after finishing your payment.

If you choose monthly payements, the first payment will start when you register.

Bank Transfer: You will receive an invoice from our administration within 72 hours.

Satisfaction guarantee (see terms and conditions).

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