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 Class
Mary Buchan
Tuesdays / Weekly Jan. 24 - April 10
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 Week Tele-Class

This package includes:

$100 per month for 3 months +
$25 Registration & Materials

Source Enrollment & Digital Workbook
Personal Access Code for Twelve 60 min. Classes
Weekly 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: Mary Buchan

Tele-Class Day/Time:

Tuesdays at 11:00 am PST (2 pm EST)

Tuesdays at 4:00 pm PST (7 pm EST)

Jan 24	Feb 14	March 6	March 27
Jan 31	Feb 21	March 13	April 3
Feb 7	Feb 28	March 20	April 10

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.