One-on-One
Signup Agreement

Personal + Salon Information

Name

First Name

Last Name

Email

Salon Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Credit Card Information

Once you submit this form, we will set up your coaching program payments to be charged on the 1st of each month for the number of scheduled coaching sessions for the month.

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Number

Expiration Date

Name on Card

CVV

Coaching Charge Authorization

I agree to allow Inspired Enterprises, Inc., otherwise known as, Beyond the Technique, to charge my credit card for our virtual coaching sessions.