Pay by Automatic Payment
Please set up an automatic payment of $399 monthly to be processed to:
Please set the "Particulars" field to your first initial and last name (e.g. H Roulston) and the "Reference" field to "Platinum."
Once you have set up your automatic payment, please proceed to fill in this questionnaire. This is also your opportunity to choose when you would like to hold your initial call with Hayden.
Please read this disclaimer. Note that by continuing on to purchase this package, the disclaimer becomes legally binding.