Private Session RegistrationRegister HereFill out the form below to register for a private session hosted by Nicole Pearson! Name(Required) First Last Email(Required) PhoneTentative Date #1(Required) Month Day YearTentative Date #2(Required) Month Day YearTentative Date #3 Month Day YearTentative Date #4 Month Day YearNumber of Attendees(Required)Session Fee(Required) Price: Product Name(Required) Price: $1,500.00 Agreements(Required) I agree to the stipulations below:- The fee for this session is non-negotiable - The fee applies to each participant connection. If multiple people are present in an online connection, the fee will only be applicable to the single connection - In the case of a refund request, please reach out to the FLTJ team and REFRAIN from requesting a chargeback to your card.Subscribe for updates I would like to receive email updates from FLTJ.Total Due Billing Address(Required) Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card(Required)Card Details Cardholder Name Δ
