Online Course Registration Please fill in the following information. *Required fields N4NN Online Course - Registration Form Name* First Name Last Name Title*Company*Mailing Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Registrant's email* Administrator's email (if you are completing the registration form on behalf of the registrant) Phone number*ExtensionArea of Expertise (select one)*AdvertisingChef, food serviceConsumer relationsFood, beverage & groceryProduct developmentPublic relationsSalesOtherOther (please specify)Have you taken the Nutrition for NON-Nutritionists course before?YesNoHow did you hear about the course (select one)?*Direct emailColleagueWebsiteNewsletterTwitterInstagramFacebookOtherIf 'Other', please specify.If 'Colleague', whom may we thank for referring you?What are your top 3 nutrition questions?Under Canada's Anti-Spam Legislation, we require your consent in order to send you electronic emails such as our Nutrition for NON-Nutritionists newsletter, course handouts and course information. Please check below to indicate your consent.* I consent Course Fees*Select all that apply. Full Course (5 modules): $499 + HST Module 1 – Top 5 Food & Nutrition Trends: $150 + HST Module 2 – Nutrition Facts & Fiction: $150 + HST Module 3 – Unlock the Power of Food for Health: $150 + HST Module 4 – Healthy Eating Guidelines Around the World: $150 + HST Module 5 – Food Labels, Nutrition & Health Claims: $150 + HST Method of Payment (select one)*Credit Card (via Paypal)E-TransferChequeDiscount code (if applicable):CANCELLATION FEE With written notice to Info@NutritionForNonNutritionists, a refund of the registration fee less $50 admin fee will be issued before January 25, 2021. No refunds after January 25, 2021. - After clicking SUBMIT below, you will be directed to the payment page with instructions for Paypal / credit card, e-transfer or cheque payment options. This iframe contains the logic required to handle Ajax powered Gravity Forms. Questions? Email Info@NutritionForNonNutritionists.com.