Notes

<div class="jfk1">
<div class="jfk2"><p><b>Name of coach:</b><br />
[text* your-name] </p>

<p><b>Information about coach, coaching style etc. (Max 35 words):</b> <br />
[text Information-a id:Informationa class:Information class:a]</p>

<p><b>Customer testimonial (Max 35 words):</b> <br />
[text Customer-t id:Customer-t class:Customer-t] </p>

<p><b>Customer Email:</b> <br />
[email* email-966] </p>

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<div class="jfk3">
<p id="aa"><b>Type of membership</b> <br />[checkbox Type-of id:Type-of class:Type-of use_label_element "Coach member (45NOK/month)" "Full membership (incl. two blogposts pr. month linked to your profile and extra long testimonial) (75NOK/month)"]</p>

<p id="asx" ><b>If Full Membership is chosen, please add long testimonial</b> (Max 80 words) <br />[textarea textarea-388 id:mshipchosen]</p>

<p><b>I am interested in the option “Select Quaterly Coach” which gives you extra visibility on profcoach</b> <br />[checkbox Select-Q id:Select-Q class:Select-Q use_label_element "Yes – this is something I would consider" "No – not now"]</p>

<p><b>Coaches in these languages:</b> (Possible to choose more than one) <br />[checkbox Coaches-in id:Coaches-in class:Coaches-in use_label_element "Norwegian" "English" "Spanish" "German" "Japanese" "Chinese"]</p>

<p><b>Coaching methods:</b> (Possible to choose more than one)<br />[checkbox Coaching-m id:Coaching-m class:Coaching-m use_label_element "In-person" "Skype" "Telephone"]</p>

<p><b>Fee Range:</b><br />[checkbox free-r id:free-r class:free-r use_label_element "Offers free sample sessions" "Offers package price"]</p>
<p class="jfk4">
<p><b>Coaching Credentials:</b><br />[checkbox Coaching-C id:Coaching-C class:Coaching-C use_label_element "ACC" "PCC" "MCC" "Other"]</p>

<p><b>Education/Certification:</b><br />[select education "CTI – Coaches Training Institute" "Erickson Coaching" "Adler Coaching " "Other"]</p>


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<div class="jfk5">

<p><b>Location of office</b> (for in-person coaching, Possible to choose more than one)<br />[checkbox Location-off id:Location-off class:Location-off use_label_element "Østfold" " Akershus" " Oslo" " Hedmark" " Oppland" " Buskerud" " Vestfold" " Telemark" " Aust-Agder" " Vest-Agder" " Rogaland" " Hordaland" " Sogn og Fjordane" " Møre og Romsdal" " Sør-Trøndelag" " Nord-Trøndelag" " Nordland" " Troms" " Finnmark"]</p>

<p><b>Memberships/Associations:</b><br />[checkbox Memberships-Ass id:Memberships-Ass class:Memberships-Ass use_label_element "ICF"]<br>other &nbsp;[text Memberships-A id:Mem-A class:Mem-A] </p>
<div class="jfk6">
<p><b>Specialty Areas: Coaching in Organizations: By Audience:</b> (Possible to choose more than one)<br />[checkbox Specialty-Areas id:Specialty-Areas class:Specialty-Areas use_label_element " Board members" " Business owners/entrepreneurs" " Division, department, managers" " Downsized individuals" " Human resources leaders" " Individuals" " Internal coaches" " Team managers" " Teams" " Top executives and leaders"]</p>
<p><b>Life Transitions</b> (Possible to choose more than one)<br />[checkbox L use_label_element "Burnout" " Career" " Student to employee" " Retirement" " Success"]</p>
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[submit "Send"]</div>