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Free Assessment
Internal – Cancellations
Moshe Gotfryd
2019-06-28T11:04:31-04:00
Course Cancellation
Infusionsoft Email
Date Notified of Cancellation
MM slash DD slash YYYY
The Client is Continuing Sessions Until
A specific date
A specific number of sessions
Effective Date
*
MM slash DD slash YYYY
Effective Session
*
Reason For Cancellation
*
Please Select One
Scheduling
Cost
Health Issues
Alternative treatment sought
Child cannot perform activities
Child refusal
Coach issues
Course ineffective
No reason given
Other
What happened?
*
Book Keeping and AR
Do we know yet what the client's total fees will be?
*
Yes
No
Total Client Fees
*
Remuneration / Payment
*
Check
E-Transfer
Credit Card
Other / Unknown
Email for E-Transfer (If applicable)
Password (If applicable)
Page load link
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