CH2103121

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• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• Address 1:
• Address 2:
• Address 3:
• * City:
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• SAVE $100 NOW - If you are registered for KBIS 2021 ( FOR FREE registration click http://kbis21.nvytes.co/kbis21/register/852444.html ), 1. Enter your registration number in the box below. 2. Enter KBIS2021 as a Promo Code below to receive a $100 Discount. 3. Click the Apply button.

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• Fee

  Type	Fee
  One-time fee for Lifetime Network, benefits renewable annually.	$699.00

About me

• *

  My reason for becoming CLIPP certified is:

  • Professional Growth
  • New Business Direction
  • Job Requirement
  • Other - please enter your answer below
  • Become a lifetime member of the Living In Place Institute Network
• If not listed above, my reason for becoming CLIPP certified is:
• My profession is:
• Company:
• Job Title:
• Website:

• I am a member of the following associations:

Why Living In Place?

• * I learned about the CLIPP class from:
• * My top 3 expectations of the CLIPP class are:
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• *

  I have reviewed and I agree after graduating to the Code of Ethics and Standards https://livinginplace.institute/professionalsfaq#20.WhatistheLivinginPlaceCodeofEthicsandConduct

  • Yes
  • No

Cancellation Policy and Optional Items

• *

  Please confirm that you understand and agree to the Course Cancellation and Refund Policy. Here is a link to the Policy: https://livinginplace.institute/professionalsfaq#WhatistheCourseCancellationandRefundPolicy

  • Yes, I understand and agree to the Policy
  • No, I am not willing to comply and will cancel my registration
• *

  REQUIRED FOR CLASS #1 - I am creating my own Experiential Meal Kit (takes about an hour or two) CREATE YOUR OWN: https://files.constantcontact.com/21a29f3f101/6bcf0226-91d3-4943-8495-71c02e8654e0.pdf PURCHASE: http://events.constantcontact.com/register/event?llr=sqks4zhab&oeidk=a07ehg32ihlc93ffa0c

  • Yes, I am creating my own kit.
  • No, I am purchasing a Meal Kit & understand that it will take 2 weeks to ship in the Continental US.
• *

  I understand that the E-manual is not printable and valid only during my Active Benefits period of one year and will be renewed with my annual $99 Active Network Benefits Fee.

  • Yes, I understand and agree.
  • No, I will stop registration.