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brainhighwaysglobal

An International Educational Program

The Family Program Upgrade Form

Parent 1: First Name

Parent 1: Last Name

Child's name

2nd child's name

I have read the detailed information on the "What You Need to Know" page for whichever course option I chose.

Select One (USD) Payment Option

Upgrade from Base Program to the Basic Support Plan - $350

Upgrade from Base Program to Premium Support - $600

Child's age

2nd child's age

Email

3rd child's name

3rd child's age

Home
Programs
Book
Videos

Screening Quiz
Articles
About
Contact

brainhighwaysglobal

An International Educational Program

contact@brainhighways.com

© 2023 Brain Highways Global

Home
Programs
Book
Videos
Screening Quiz
- Adult Screening Quiz
- Child Screening Quiz
Articles
About
Contact

bottom of page