* Required Fields
I hereby authorize The Strategic Coach Inc./The Strategic Coach USA Inc. to charge the credit card account number above for the deposit amount.**
I hereby authorize The Strategic Coach Inc./The Strategic Coach USA Inc. to charge the balance, plus applicable taxes on the full annual fee amount, three weeks prior to the start date using the above credit card.
* Required field.
**Please note that your credit card will not be charged for the deposit until you have been verified by a Sales Consultant.