Online Course Registration Please fill in the following information. *Required fields N4NN Online Course - Registration Form ANNIVERSARY EDITION 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 N4NN Online Course Anniversary Special - rates apply for purchase of full course or any module(s) during April 2021. You can complete the course or modules at your own pace and have access for 1 year after purchase date.*Select all that apply. Full course (5 modules) now $425 + HST (regular $499) Module 1 – Top 5 Food & Nutrition Trends: now $128 + HST (regular $150) Module 2 – Nutrition Facts & Fiction: now $128 + HST (regular $150) Module 3 – Unlock the Power of Food for Health: now $128 + HST (regular $150) Module 4 – Healthy Eating Guidelines Around the World: now $128 + HST (regular $150) Module 5 – Food Labels, Nutrition & Health Claims: now $128 + HST (regular $150) Method of Payment (select one)*Credit Card (via Paypal)E-TransferChequeDiscount code (if applicable):CANCELLATION FEE No cancellations on this special 15th Anniversary sale. - After clicking SUBMIT below, you will be directed to the payment page with instructions for Paypal / credit card, e-transfer or cheque payment options. Upon receiving your completed registration and payment, we will email you a unique link to access the online course / module(s). This iframe contains the logic required to handle Ajax powered Gravity Forms. Questions? Email Info@NutritionForNonNutritionists.com.