Classroom Training Registration – Prime Trucker Agency

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 attending
No, my Partner or Spouse will not be attending

Attending Spouse or Partner's Name

First Last

Address*

Street Address City State ZIP Code

Mobile Phone Number*

Email*

Class Selection

Class 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)

Trainer

Training Date

Training Start Time

Estimated End Time

Training Location

Payment

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date 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 & Conditions

Total (without Coupons)

Total

$0.00