REGISTRATION FOR EC FALL 2022 (FOR CURRENT EC SPRING 2022 CADETS)

REGISTRATION for EC FALL 2022 (FOR CURRENT EC SPRING 2022 CADETS ONLY)

First Name * 🛈

Last Name *

Agent ID *

Agent Level *

Are you life-licensed? *

Yes

No

Phone Number (numbers only) *

Email Address *

# of times attended Elite Circle *

# of times graduated without honor

# of times graduated with Honor

SMD *

Upline CEOMD *

Enrolled as *

Name of Spouse (If applicable) 🛈

Note: To qualify for Qualified Cadet price, cadet must submit proof for points as mentioned on the EC Fall 2022 Registration Flyer. Please refer to the flyer for qualification requirements. Non-Qualified Cadets pay $115. *

$90

$115

Qualified Cadets Must Upload Proof

Please read and check each box to accept (all items below are required to be accepted): *

1. Registration fee is non-refundable and non-transferable. ONLY Cash or Credit/Debt Card are accepted. The enrollment fees are used to cover operating cost of the program including the expenses to have all the leaders around the country to coach the classes.

2. Spouses/significant others are welcome to participate and pay the same price like yours. If you qualify, your spouse can join EC as Qualifier and pay Qualifier’s fee. If you don’t qualify, your spouse can join you as a Non-Qualifier and pay Non-Qualifier’s fee.

3. All other Elite Circle policies; please refer to “EC Rules & Guidelines” which is available from our EC website.

4. The undersigned credit/debit cardholder authorizes Mission Team LLC to charge the above credit/debit card for the fees listed above.

5. The undersigned acknowledges and agrees that the registration fee paid herein is non-transferable to another person.

6. I understand the registration fee is non-refundable but can be rolled over to next Elite Circle session for a legitimate reason. However, the fee will be forfeited if the cadet still does not attend Elite Circle.

*NOTE: For security of your personal account information, please use your PayPal account if you have one. If you choose credit card option, that credit card cannot be associated or linked with your PayPal account or it will be declined. If using other Debit or Credit Cards and you experienced a payment processing issue, you need to call your credit card company to allow the charge from PayPal/Mission Team LLC

Do you pay for yourself? *

Yes

No

If not, please type the name of the cardholder