Manifestation Student Registration Form

Manifestation Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Please state who you were referred by .
I was referred by blanks*.
YesNo
My Products*
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Tier #3 Premier Access Manifestation School Tuition -- Low Monthly Payments
The Manifestation Subscription is a recurring payment. This is a monthly automatically charge. The fee will be charged to your account each month automatically. Monthly auto debit of $29.98 Subscription/Tuition plus $3 monthly processing fee. It's the Students responsibility to CANCEL. All Payments Are Non-Refundable

$32.98 for each month



6 Month Prepaid Tuition: The Manifestation School
Pay for classes up-front. No monthly recurring charges. 6 month prepaid tuition is $179.88 plus $12.99 processing fee. Payment is Non-Refundable. It's the students responsibility to Cancel

$192.87 one-time payment



Tier #2 Essential Access
Partnership $30 for 3 months, $50 for 6 months , $80 for 12months. Includes everything in Tier 1 Plus 1 Free Manifestation Journal and a 5% Discount on books RhondaCulton.com

$30.00 one-time payment



Tier #2 Payment Options
6 months Partnership

$50.00 for each six months



Tier #2 Payment Options
Partnership 12 months

$80.00 one-time payment
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