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Authentic Education Enrolment Form

Authentic Education Order Form

Your Details

Confirm Email

Please check if this is right, we just want to make sure that you'll receive your confirmation and all relevant communication :-)

First Name

Last Name

Mobile

Please add your country code

Please only enter your number. Use a "+" before your country code if applicable.

Mailing Address

Company Name

Mailing Street

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Mailing Country

You can type the first letters of your country to jump to the selection in the list

YourCountry

My Billing Address Is

Same As Mailing AddressDifferent

Billing Address

Company Name

Billing Street

Billing City

Billing State/Province

Billing Zip/Postal Code

Billing Country

You can type the first letters of your country to jump to the selection in the list

Your Inclusions

Your Bonuses

Product Selection

Select Option

YourProduct

Event Selection

Select Program

YourEvent

Select Program 2

YourEvent2

Select Program 3

YourEvent3

Please note, you must have fully paid the program value in order to attend the selected live via zoom date.

Pricing Selection

Invoice Type

Paid In FullPayment Plan

Payment Plan Option

Total

Deposit

Instalments

Monthly Amount

The final instalment will be adjusted down to only take the remaining balance due

Special Comments Or Instructions About My Payment Plan

Special Comments Or Instructions

Special Comments, Notes Or Instructions

Payment Details (No Card Fees Are Charged)

Card Number

Card Type

Expiry Month

Expiry Year

CVC

3 digits on back of Visa/Mastercard, or extra 4 digits on front of Amex cards

Pay Today

AUD

The final instalment will be adjusted down to only take the remaining balance due

Authorise Only

You got approved by Authentic Education staff for a credit card authorisation enrolment. You can secure the event special price for this offer by entering your credit card now, but you will not be charged immediately.

Please note that if your credit card is a Visa or Mastercard Debit card, the funds will be deducted straight away.

The authorisation only works with "real" credit cards.

What specifically from today inspired you to enrol into the program?

Terms And Conditions

By selecting Yes, I agree to the fascinating terms and conditions here: https://www.authentic.com.au/terms-2023

The main terms are the 3 business days cooling off period and the Happiness Guarantee.

Happiness Guarantee on ON DEMAND training programs: If you are not satisfied with the ON DEMAND program, you have 7 calendar days from the date your login details were sent to you (not the date you open the email), to email support@authentic.com.au and receive a full refund. Refunds do not apply to ON-DEMAND courses you may have received as a bonus, gift, transfer or course credit.

* Yes, I have read and I accept the Terms And Conditions, and agree to be charged the "Pay Today" amount in AUD now

Inclusions

<ul><li>Unlimited Attendance to the 6 Week Immersion Program (Live via Zoom)</li><li>Lifetime Access to Confidence On Camera On-Demand Training Program</li><li>3 months Live Marketing Mentorship with Cham</li><li>Lifetime Updates &amp; Additions to Confidence On Camera Program</li><li>Lifetime Online Support</li><li>Unlimited Attendance to the 21 Day Confidence On Camera Challenge from Cham Tang</li><li>Complete Video Review From Cham</li></ul>
Please note you will receive access to the Confidence On Camera Program on March 1st, 2024

Invoice Totals

InvoiceTotal

DepositTotal

MonthlyTotal

Event Details

Start Date

End Date

Event Name

Today

Instalments

Instalments1

CInstalments1

Instalments2

CInstalments2

Instalments3

CInstalments3

Invoice

Client

TicketType

Registration Details

Event1ID

Event1SID

CEvent1ID

Event2ID

Event2SID

CEvent2ID

Event3ID

Event3SID

CEvent3ID

Product Info

ProductID

ProductTitle

ProductType

PPoptions

PIF

Deposit

InstalmentType

Instalments

InstalmentAmount

Event1

Event1TicketType

Event2

Event2TicketType

Event3

Event3TicketType

Kajabi1

Kajabi2

Kajabi3

CreateRego

YesNo

GST

YesNo

ImageURL

OfferURL

ProductInclusions

ProductBonuses

ProductTerms

PIF2

PP2

Deposit2

InstalmentType2

Instalments2

InstalmentAmount2

PIF3

PP3

Deposit3

InstalmentType3

Instalments3

InstalmentAmount3

ProductInstalments

LoadIndicator

WelcomeEmail

PaymentStartDate

PPSD1

PPSDD1

PPSD2

PPSDD2

PPSD3

PPSDD3

MaxInstalments

Task

ActivityID

Total Calculations

InvoiceTypeC

Total

Deposit

Depositcalc

InstalmentType

Instalments

MonthlyAmount

PPtotal

PPdeposit

PPmonthly

PPinstalments

PPmaxInstalments

PPselection

Country

Marketing

UpsoldFrom

FormColour

ThankYouColour

ThankYouImage

ThankYouVideo

ThankYouImageFormat

CAName

CANumber

ExpiryYear

EmailCheck

MobileCheck

SalesCampaignCode

Chargent

PaymentFrequency

ChargeDate

Action

Please fill in all required fields marked with "*" in order to proceed