Visionary Intensive Advance Registration and Payment
July 31st - August 1st, 2026
CLICK HERE FOR SCHOLARSHIP OPPORTUNITY
Name
*
First Name
Last Name
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age Range
*
20-30
31-40
41-50
51 - 59
60 +
Gender
*
Male
Female
Will You Be Staying in the Dormitory
Yes
No
Do You Own Your Own Business
*
Yes
No
Discount Code
Payment (All Payments are Non-Refundable)
*
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( X )
VIA Individual Payment
Non-refundable
$299.00
$
299.00
VIA Couples Payment
Non-Refundable
$499.00
$
499.00
VIA Virtual
Non-Refundable
$169.00
$
169.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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