Classroom Training Registration Class Attendee Name* First Last My Spouse or Partner will attend.*Spouses/Partners are encouraged to attend at no additional charge. Yes! My Partner or Spouse will be attendingNo, my Partner or Spouse will not be attendingAttending Spouse or Partner's Name First Last Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mobile Phone Number*Email* Class SelectionClass Name*“10 Principles of Money Mastery” Employer Sponsored Class ($35)Consumer “10 Principles of Money Mastery” Class (includes 1st month of Money Mastery Software) ($99)“Putting it All Together” Consumer Class (includes 1st month of Money Mastery Software) ($299)TrainerTraining DateTraining Start TimeEstimated End TimeTraining LocationPaymentCredit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Coupon Payment of Class Tuition acknowledges acceptance of attendance and acknowledgment of Refund Policy.**All Classes include Class Workbooks. *Spouses/Partners are encouraged to attend at no additional charge. Refund Policy: All Class Attendees must provide 48 hours notice for non-attendance to Debt Prodigy or Instructor for any refunds. Less than 48-hour notice before class time will forfeit tuition. Substitute notification may be allowed within the same notice period. I agree to the Terms & ConditionsTotal (without Coupons)Total $0.00