Register for a Source Class

Registration for The Source - 2012

Registration is required and limited. Please fill out the form below. A Source Representative will contact you to confirm space is available and complete the processing of your payment option. Any questions/clarifications can be asked/made at that time. You will not be charged for the Workshop or Tele-Class packages until you are contacted.

The Source Foundations
Julie Hammerstein
2nd Tuesdays / Monthly Jan. - Dec.
Print a Flyer for Details

Registration Information: (Note: All Bold fields are Required)

First Name:

Last Name:

Street Address:

Apartment or Suite #:

City:

State:

(Enter 2 letter state code. e.g. CA = California)

Zip:

Daytime Phone:

Voice Com:

Cell Phone:

Email:

Your email address is required to confirm your registration.
Please make sure the address is spelled correctly.

Referred by:

Promo Code:

Class Selection:

The Source Foundations - 12 Month Tele-Class

This package includes:

$25 per month for 12 months +
$50 Registration & Materials

Source Enrollment & Personal Workbook
Personal Access Code for Twelve 60 min. Classes
Monthly Source Connections and Support
Discount on Source Kit (sold separately)
Source Kit is Highly Recommended

Complete Source Kit for $49.00

Yes, Add Source Kit .
No, thanks

Coach & Time Selection:

Coach: Julie Hammerstein

Tele-Class Day/Times:

2nd Tuesday Morning at 11am PST/ (Noon MST)

2nd Tuesday Evening at 6pm PST / (7pm MST)

Jan 10th	April 10th	July 10th	Oct. 9th
Feb. 14th	May 8th	Aug. 14th	Nov. 13th
March 13th	June 12th	Sept. 11th	Dec. 11th

Payment Method:

(Choose One)

Installment Plan - Monthly Payments

Check

Credit Card or PayPal

Pay in Full - One-time Payment

Check

Credit Card or PayPal

After you submit your registration information, a representative from The Source will contact you to complete the processing of your payment option.

Terms & Conditions:

Click here to read the Terms & Conditions Agreement

Please Confirm:

Yes, I have read and agree to the
Terms & Conditions Agreement

If you do not accept the Terms &
      Conditions, please do not submit the
      registration - it will not be processed.
      Please call us if you have any questions.