Online Video Marketing Course Registration Business Information - Step 1 of 3Business Name *Business Website *Business Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryContact Name *FirstLastThis is the name of the business contact, not the course participant.Contact Title *This is the title of the business contact, usually "Owner", not the course participant's title.Contact Email *This is the email address of the business contact, not the course participant.Contact Phone *This is the phone number of the business contact, not the course participant.What is the purpose of enrolling your business in this program? *How many total participants are you registering? *12NextFirst Participant Name *FirstLastFirst Participant Title *First Participant Email *First Participant Phone *First Participant Computer Operating SystemMacPCFirst Participant Primary CameraiPhoneAndroid PhoneDSLRWebcamCamcorderOtherSecond Participant Name *FirstLastSecond Participant Title *Second Participant Email *Second Participant Phone *Second Participant Computer Operating SystemMacPCSecond Participant Primary CameraiPhoneAndroid PhoneDSLRWebcamCamcorderOtherNextChoose Your Payment Type *Pay in Full ($5,000 plus $650 HST)Pay Deposit ($2,500 plus $325 HST)If paying just a deposit today, your second payment will become due on October 1st, 2018.Choose Your Payment Type *Pay in Full ($10,000 plus $1300 HST)Pay Deposit ($5,000 plus $650 HST)If paying just a deposit today, your second payment will become due on October 1st, 2018.Payment Total$ 0.00Payment Method *Interac e-TransferCredit Card PaymentPlease send your Interac e-Transfer for the amount stated above to: angela@videopowerup.com Your participants' reservation isn't complete until this payment has been received and confirmation has been delivered to you.You will receive an invoice that can be paid online with a credit card. Your participants' reservation isn't complete until this payment has been received and confirmation has been delivered to you.Terms and Conditions *I have read and agree to the Terms and Conditions.Lorem ipsum dolor sit amet, ut iaculis diam wisi eget habitasse justo. Vestibulum tempus lectus. Commodo porttitor euismod augue tempus, leo eros, egestas justo. Eget diam duis donec. Interdum integer, adipiscing dui. Ornare magna viverra conubia arcu ad, auctor placerat, sapien cras, taciti dictum nibh vestibulum nascetur. Vestibulum eget, nunc at mauris amet congue ridiculus fusce. Nulla hymenaeos egestas ipsum et leo justo, sollicitudin et neque tellus, ultrices consequat ut dolor in. Pede vestibulum, volutpat faucibus. Ut lacinia ullamcorper vel, in tortor enim purus, ut proin aute pellentesque eget, morbi sit, leo egestas. Nibh lectus wisi id, nullam ligula felis sed nam, integer at enim tincidunt potenti, vel officia at. Ut condimentum elit gravida congue cras accumsan. Sed dolor ipsum dolorem donec accumsan, orci viverra pellentesque erat cumque amet, orci iaculis quis nascetur, amet id sit natoque imperdiet vel nunc. Magna elit leo, suspendisse pede quam, dictumst varius mi non, volutpat pellentesque, est tortor dapibus sed. Libero magna class, odio vivamus dictumst sapien vitae vitae, vehicula pellentesque ut in metus orci sapien, nunc eleifend, tempus morbi scelerisque adipiscing risus cum. In ut venenatis ipsum. In ut, sed fusce, quam faucibus egestas nulla, tellus pharetra, porttitor ac bibendum maecenas tellus velit nisl. Neque orci in commodo, mauris elit neque lectus tellus, mi et. Magna convallis ligula. Mus duis quam aliquet, mauris etiam nec lobortis amet sem per, sit sit lectus in orci in, dictumst porttitor ante neque, arcu risus ornare. Eu purus. Nullam nisl vivamus ultrices, pellentesque sed sed, sodales et ut neque eu. Vulputate semper amet et sed, maecenas nec ut, integer faucibus commodo, sed magna, tincidunt mattis magna molestie fermentum et in. In quam iaculis praesent, elit sapien orci ac rutrum lectus, metus id suspendisse, dui cras magna tellus massa. Suspendisse eu risus pede integer aliquam. Elit sed erat vitae sed. Integer eget elit pharetra. Nunc mollis qui sollicitudin, luctus eget euismod sed, malesuada curabitur magnis eget, diam sit ut ipsum commodo, taciti in potenti viverra. Suspendisse turpis gravida, adipiscing nec, cras elit donec nulla, vitae quam, egestas vivamus ut massa luctus. Mollis sit sed suscipit ac ipsum odio. Nulla vel et in libero et. Aenean et suspendisse molestie pede nulla, autem lobortis commodo blandit id orci nisl. Viverra enim eget rutrum tortor ante et, eget luctus mauris aliquet urna, accumsan integer nullam vel, odio felis curabitur felis ab, gravida sit dui. Ornare faucibus id, in et etiam, accumsan viverra amet nam, ultrices vestibulum curabitur posuere et nulla.PhoneSubmit
