uP! & uP!++: EMI Request Form
GST Number (if applicable)
Fast Track Membership
Genius in Action
Excellence Installation Specialization
Select the product that you are requesting EMI for.
Please mention the Fee before taxes and actuals
Mention the initial amount and other payments you may have already made
Please mention how much do you want to pay every month towards the A&H Membership fee.
EMI Payment Date
Please mention the date of the month for your EMI payment towards the A&H Membership fee.
1. I understand that there will be 18% GST added to the total fee as per government regulations. And all the venue, food and travel expenses will be borne by me. 2. I commit to making the full payment of the A&H Membership fee and I fully understand that the EMI is a value added services provided at no interest for my convenience. 3. I am joining the Membership to Accelerate my Success and Launch my Legacy and do not have any health or medical related expectations from the program.