Tel:
(+61) 419 225 221
How it works
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Program details
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Contact
Important: Read PART A of the Professional Coaching Agreement by clicking HERE
Professional Coaching Agreement: PART B (1)
Client Details
Client: First & Last Names
*
Company Name
*
Job Title
*
Your Best Phone Number
*
Email address
*
Mailing Address line 1
*
Mailing Address line 2
Suburb, State
*
Zip/Postcode
*
Is your company paying for coaching or are you paying for coaching?
*
My company is paying
I am paying
If your company is paying, enter the EIN (US)/ABN (Australia) of the company
First & Last Name of Emergency Contact
*
Phone Number for Emergency Contact
*
Term
The initial term of the agreement is 4 months from the Commencement Date and thereafter reverts to a monthly subscription.
Commencement Date
*
Date of first coaching session.
Payment for Services
Coaching Fee
Total Minimum Spend
Signature of Client
Signature.
*
Please enter your first and last name. By completing this field with your electronic signature you are agreeing to all preceding Sections. This electronic agreement is a legal and binding document in the State of Queensland, Australia.
Date
Date Format: MM slash DD slash YYYY
Agreement
*
I have read the
Professional Coaching Agreement: PART A
Δ