IET Application

Your Details

Name*

First Last

Business Name*

Email*

Enter Email Please confirm your email address

Website URL*

What would you like to talk about during your session?*

(If you'd like help with your copy, please also share a Google Doc with the content you'd like to work on to helen@communicationsdistillery.com).

IMPORTANT
For HIPAA compliance, DO NOT include any client Protected Heath Information (PHI). Please remove any identifying details PRIOR to sharing any information or documents with Helen Tremethick or The Communications Distillery.

The Legal Bits

In completing this payment process, I agree that The Communications Distillery will provide to me the service of Clarity Sessions. I will book my first session within one week of purchase.

All my sessions will be booked one at a time using The Communications Distillery online calendar. Sessions are only valid for 3 months and must be used within 3 months of purchase.

Given the nature of my work, I will not share any Protected Health Information (PHI) including but not limited to: names, birth dates, addresses, or any other identifying information.

I understand that my own personal information and the information discussed in the sessions are held in confidence.

I agree that all the information I have provided is correct and that any and all claims or demands, including legal fees, arising out of any HIPAA non-compliance, alleged libel or copyright infringement committed by me is not the responsibility of Helen Tremethick or The Communications Distillery.

I understand that no refunds are provided except in extenuating circumstances and before the Clarity Session.

Checklist

*

My contact information is correct. (required)
I agree to the terms above. (required)
I would like to join The Communications Distillery mailing list. (nice but not required)

Clarity Coaching*

Price: $400.00 Quantity:

Promocode

Payment Details

This is a secure site. Your payment is processed using Stripe and your credit card information will not be stored, saved, or shared.

Total

$0.00

Credit Card*

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Once you click YES PLEASE!, you will be redirected to a page with instructions on how to book your first Clarity Session.

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