Nutrition Consultant Expedited Enrollment This form allows for expedited enrollment into our Nutrition Consultant program. All the required paperwork will still have to be submitted within the next 30 days. This form allows people who might not be able to do all the paperwork in time, to still start the program on time. After you submit this form, select your payment plan, and make your initial payment, you will then receive an email from us to access the paperwork to read and sign in electronic format. Once this form is submitted, you will receive a confirmation email with a link to PayPal where you can use a credit card or your PayPal account to make the necessary payment. If you do not receive this email within the first 10 minutes after submitting this form, please let us know right away at: firstname.lastname@example.org. If you have any questions during this enrollment process, please contact us by email: email@example.com or by phone: 800.987.7530. Contact InformationName* First Last Email* Enter Email Confirm Email Date Date Format: MM slash DD slash YYYY Phone*Payment InformationPayment Option*Select your payment option...Payment In Full - $7,395.00 (includes $400 in fees)Payment Plan A - $788.61Payment Plan B - $4,000.00Discount: Price: $0.00 Total $0.00 Consent*I agree to submit any required paperwork within 30 days of submitting this form. I agree to the consent policy.NameThis field is for validation purposes and should be left unchanged.