SSL SECURE PAYMENT Order Form. Most items ship within 1-3 business days, allow 7-10 days for final delivery unless notified via email. Update quantity, recalculate, choose shipping. Go To Payments option to finalize order. Concerns? 928.758.7689

 
Product Quantity Price Amount
Early-Bird Registration Payment for Couple residing in same household participation in CHIP Complete Lifestyle TRANSFORMATION Intensive EIGHTEEN Classroom SESSIONS with One Shared Textbook Kit Six HRA Draws with medical consultation .S/H covers hard-copy mailed program Textbook Kit. NO REFUND during or after program begins. No Refund after enrollment deadline. If participants cancels approved program enrollment a 25% Cancellation Fee will be Applied after approved enrollment and/or prior to program enrollment deadline. Participants accept full responsibility for determining their ability to participate in/or completing the CHIP program intensive. Couple participants must Enroll separately at chiphealth.com to obtain HRA results. No Consultation Discount available for this program. Must be physically present and within the AZ-NV-CA TriState Region to participate in CHIP 7-week Healthy Lifestyle Seminar Intensive Delete1,099.00 1,099.00
Early-Bird Discount Registration Payment for CHIP Complete Lifestyle TRANSFORMATION Intensive EIGHTEEN Classroom SESSIONS with Textbook Kit, Three HRA Draws with medical consultation. S/H covers hard-copy mailed program Textbook Kit. NO REFUND during or after program begins. No Refund after enrollment deadline. If participant cancels approved program enrollment a 25% Cancellation Fee will be Applied after approved enrollment and/or prior to program enrollment deadline. Participants accept full responsibility for determining their ability to participate in/or completing the CHIP program intensive. No Consultation Discount available for this program. Must be physically present and within the AZ-NV-CA TriState Region to participate in CHIP 7-week Healthy Lifestyle Seminar Intensive Delete679.00 679.00
Early-Bird Registration Payment for Double (friend family) CHIP Complete Lifestyle TRANSFORMATION Intensive EIGHTEEN Classroom SESSIONS with Two Textbook Kits Six HRA Draws, Medical Consultation.S/H covers hard-copy mailed program Textbook Kit. NO REFUND during or after program begins. No Refund after enrollment deadline. If participants cancels approved program enrollment a 25% Cancellation Fee will be Applied after approved enrollment and/or prior to program enrollment deadline. Participants accept full responsibility for determining their ability to participate in/or completing the CHIP program intensive. Both participants must Enroll separately at chiphealth.com No Consultation Discount available for this program. Must be physically present and within the AZ-NV-CA TriState Region to participate in CHIP 7-week Healthy Lifestyle Seminar Intensive Delete1,249.00 1,249.00

All prices are in US Dollars Subtotal 3,027.00
Shipping 0.00

TOTAL 3,027.00


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