For full functionality of this page it is necessary to
enable Javascript.
Authentic Education Enrolment Form
Authentic Education Order Form
Your Details
Email
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
x
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
Please select...
Australia
New Zealand
Singapore
Hong Kong
United States
Canada
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Angola
Antarctica
Argentina
Austria
Aruba
Aland Islands
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Saint Barthélemy
Bermuda
Brunei Darussalam
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Central African Republic
Congo
Switzerland
Cote d’Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Curaçao
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Faroe Islands
France
Gabon
United Kingdom
Grenada
Georgia
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guinea-Bissau
Guyana
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran, Islamic Republic of
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea, Democratic People’s Republic of
Korea, Republic of
Kuwait
Cayman Islands
Kazakhstan
Lao People’s Democratic Republic
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova, Republic of
Montenegro
Saint Martin (French part)
Madagascar
Macedonia, the former Yugoslav Republic of
Mali
Myanmar
Mongolia
Macao
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn
Palestine
Portugal
Paraguay
Qatar
Reunion
Romania
Serbia
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Saint Helena, Ascension and Tristan da Cunha
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
South Sudan
Sao Tome and Principe
El Salvador
Sint Maarten (Dutch part)
Syrian Arab Republic
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania, United Republic of
Ukraine
Uganda
Uruguay
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela, Bolivarian Republic of
Virgin Islands, British
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
You can type the first letters of your country to jump to the selection in the list
x
YourCountry
My Billing Address Is
Same As Mailing Address
Different
Billing Address
Company Name
Billing Street
Billing City
Billing State/Province
Billing Zip/Postal Code
Billing Country
Please select...
Australia
New Zealand
Singapore
Hong Kong
United States
Canada
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Angola
Antarctica
Argentina
Austria
Aruba
Aland Islands
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Saint Barthélemy
Bermuda
Brunei Darussalam
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Central African Republic
Congo
Switzerland
Cote d’Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Curaçao
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Faroe Islands
France
Gabon
United Kingdom
Grenada
Georgia
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guinea-Bissau
Guyana
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran, Islamic Republic of
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea, Democratic People’s Republic of
Korea, Republic of
Kuwait
Cayman Islands
Kazakhstan
Lao People’s Democratic Republic
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova, Republic of
Montenegro
Saint Martin (French part)
Madagascar
Macedonia, the former Yugoslav Republic of
Mali
Myanmar
Mongolia
Macao
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn
Palestine
Portugal
Paraguay
Qatar
Reunion
Romania
Serbia
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Saint Helena, Ascension and Tristan da Cunha
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
South Sudan
Sao Tome and Principe
El Salvador
Sint Maarten (Dutch part)
Syrian Arab Republic
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania, United Republic of
Ukraine
Uganda
Uruguay
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela, Bolivarian Republic of
Virgin Islands, British
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
You can type the first letters of your country to jump to the selection in the list
x
Confidence On Camera Program
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 Full
Payment 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
Please select...
Visa
Mastercard
American Express
Expiry Month
Please select...
01
02
03
04
05
06
07
08
09
10
11
12
Expiry Year
Please select...
23
24
25
26
27
28
29
CVC
3 digits on back of Visa/Mastercard, or extra 4 digits on front of Amex cards
x
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 & 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
PP
Deposit
InstalmentType
Instalments
InstalmentAmount
Event1
Event1TicketType
Event2
Event2TicketType
Event3
Event3TicketType
Kajabi1
Kajabi2
Kajabi3
CreateRego
Yes
No
GST
Yes
No
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
CA
CAName
CANumber
ExpiryYear
EmailCheck
MobileCheck
SalesCampaignCode
Chargent
PaymentFrequency
ChargeDate
Action
Please fill in all required fields marked with "*" in order to proceed