| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | AA | AB | AC | AD | AE | AF | AG | AH | AI | AJ | AK | AL | AM | AN | AO | AP | AQ | AR | AS | AT | AU | AV | AW | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Submission Date | First Name | Last Name | Badge Name | Are you an agent? | Are you a new agent? (Joined within 60 days) | Agent Code | Who is your direct SMD? (*If you are a SMD, please select your own name) | SMD Name | Your CEO | CEO Name | Phone | Are your spouse or significant other also attending? | Spouse Name (First Name) | Spouse Name (Last Name) | Badge Name 2 | Agent Code 2 | Sessions YOU will attend | Sessions YOU will attend 2 | Sessions YOU will attend 3 | Sessions YOUR Spouse/Significant other will attend | Sessions YOUR Spouse/Significant other will attend 2 | Sessions YOUR Spouse/Significant other will attend 3 | Vaccination Proof | Proof Submission | Spouse Vaccination Proof | Spouse Proof Submission | Total ($) | Payment: Products | Payment: Payer Info | Signature | Last Update Date | Submission ID | ||||||||||||||||
2 | 2022-01-19 14:39:04 | Nancy | Li | Nancy Li | Yes | 43LTL | Sarah Jiang | Rocky Shi | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | |||||||||||||||||||||||||||||||||||||||
3 | 2022-01-19 14:39:04 | Jason | Zhao | Jason Zhao | Yes | 28NRQ | Jim Z Jiang | Anna Li | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | |||||||||||||||||||||||||||||||||||||||
4 | 2022-01-19 14:39:04 | Zhili | Liang | Zhili Liang | Yes | 14ZVTC | Carrie Xu | Ying Lin | (1) 7783203881 | ryou8638@gmail.com | Yes | Jiawen | Gao | Jiawen Gao | 14ZYDC | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Zhili Last Name: Liang Email: ryou8638@gmail.com Stripe Customer ID: cus_KzjSeSdOlpgpqN | https://www.jotform.com/uploads/champion123/220156417991155/5184303407914409455/5184303407914409455_signature_52.png | 5184303407914409455 | |||||||||||||||||||||||||
5 | 2022-01-19 14:42:00 | Lixin | Cui | Lixin Cui | Yes | 23RFA | Lixin Cui | Ying Lin | (425) 7867238 | cuilixin712@gmail.com | Yes | Changshun | Xu | changshun Xu | 24HML | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184305154545712582/Lixin cui.jpg | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184305154545712582/changshun xu.jpg | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Lixin Last Name: Cui Email: cuilixin712@gmail.com Stripe Customer ID: cus_GmOqkiDwAuCLIm | https://www.jotform.com/uploads/champion123/220156417991155/5184305154545712582/5184305154545712582_signature_52.png | 5184305154545712582 | |||||||||||||||||||||||
6 | 2022-01-19 14:42:24 | ge | chen | Ge Chen | Yes | 58GAK | Lixin Cui | Ying Lin | (818) 8263993 | alfredgechen@gmail.com | Yes | jinjin | ye | jinjin ye | 68ibv | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184305340329884271/Booster.jpg | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: ge Last Name: chen Email: alfredgechen@gmail.com Stripe Customer ID: cus_GpmEGLipIYsK9U | https://www.jotform.com/uploads/champion123/220156417991155/5184305340329884271/5184305340329884271_signature_52.png | 5184305340329884271 | ||||||||||||||||||||||||
7 | 2022-01-19 14:45:05 | Lori | Zhang | Lori Zhang | Yes | 37MWE | Lori Zhang | Rocky Shi | (703) 8948647 | zhh.lori@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Hanhui Last Name: Zhang Email: zhh.lori@gmail.com Stripe Customer ID: cus_Fre1Nppl0bmMAF | https://www.jotform.com/uploads/champion123/220156417991155/5184307016667333307/5184307016667333307_signature_52.png | 5184307016667333307 | |||||||||||||||||||||||||||||||
8 | 2022-01-19 14:46:41 | Xiang | Xu | Shawn Xu | Yes | 28zmv | Shawn Xu | Yaobang Wu | (832) 4521652 | shawn.xu@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184307974318447366/VaccineCard.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xiang Last Name: Xu Email: shawn.xu@gmail.com Stripe Customer ID: cus_Fv1wCJPLQuikM8 | https://www.jotform.com/uploads/champion123/220156417991155/5184307974318447366/5184307974318447366_signature_52.png | 5184307974318447366 | ||||||||||||||||||||||||||||||
9 | 2022-01-19 14:51:44 | Baoqing | Li | Baoqing Li | Yes | 523fm | Baoqing Li | Joanne Su | (847) 6604489 | hello4li@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184311003615981490/VaccineBruce.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Baoqing Last Name: Li Email: hello4li@gmail.com Stripe Customer ID: cus_GmYPyHHH5zIpZw | https://www.jotform.com/uploads/champion123/220156417991155/5184311003615981490/5184311003615981490_signature_52.png | 5184311003615981490 | ||||||||||||||||||||||||||||||
10 | 2022-01-19 14:55:33 | Cindy | Chan | Cindy W Chan | Yes | 09RFT | Cindy Chan | Xuli Zong | (847) 2098188 | cindywchan2013@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Cindy Last Name: Chan Email: cindywchan2013@gmail.com Stripe Customer ID: cus_J5rP7L1i7aODDE | https://www.jotform.com/uploads/champion123/220156417991155/5184313292225605369/5184313292225605369_signature_52.png | 5184313292225605369 | |||||||||||||||||||||||||||||||
11 | 2022-01-19 15:06:37 | I-Shiuan | Lee | I-Shiuan Lee | Yes | 30NRI | Ishiuan Lee | Haihong Sun | (732) 6045688 | isl1987wfg@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184319938644960620/Vaccine card.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: I-Shiuan Last Name: Lee Email: isl1987wfg@gmail.com Stripe Customer ID: cus_KzjuHJFNxzGL8H | https://www.jotform.com/uploads/champion123/220156417991155/5184319938644960620/5184319938644960620_signature_52.png | 5184319938644960620 | ||||||||||||||||||||||||||||||
12 | 2022-01-19 15:08:34 | Dong | Gao | Gao Dong | Yes | 53FQV | Anna Li | Anna Li | (650) 7977277 | gaodongwfg@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184321100427133666/3DDC250B-E21D-4A79-9408-0B11CB952E06.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Dong Last Name: Gao Email: gaodongwfg@gmail.com Stripe Customer ID: cus_KzjwoPN2a4UhsU | https://www.jotform.com/uploads/champion123/220156417991155/5184321100427133666/5184321100427133666_signature_52.png | 5184321100427133666 | ||||||||||||||||||||||||||||||
13 | 2022-01-19 15:09:27 | JING | GU | Kathy Gu | Yes | 26nhy | Kathy Gu | Yaobang Wu | (713) 7913284 | kathy.jinggu@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184321638025570758/Covid Vaccination Record.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: JING Last Name: GU Email: kathy.jinggu@gmail.com Stripe Customer ID: cus_FrbsazQezf1CHA | https://www.jotform.com/uploads/champion123/220156417991155/5184321638025570758/5184321638025570758_signature_52.png | 5184321638025570758 | ||||||||||||||||||||||||||||||
14 | 2022-01-19 15:12:55 | Mark | Zeck | Mark Zeck | Yes | 52IXC | Ying Liu | Sophia Su | (646) 9321947 | risingridgefinancial@gmail.com | Yes | Xin | Zeck | Xin Zeck | 62BHK | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184323712845316719/Mark Covid with scan code.pdf | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184323712845316719/Xin Covid with scan code.pdf | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Mark Last Name: Zeck Email: risingridgefinancial@gmail.com Stripe Customer ID: cus_Kzk0hANjvrTSmn | https://www.jotform.com/uploads/champion123/220156417991155/5184323712845316719/5184323712845316719_signature_52.png | 5184323712845316719 | |||||||||||||||||||||||
15 | 2022-01-19 15:18:11 | Carrie | Lin | Carrie Lin | Yes | 64ALB | James Li | Yaobang Wu | (1) 8328515088 | carrieanlin@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jie Last Name: Lin Email: carrieanlin@gmail.com Stripe Customer ID: cus_Kzk5VOGBrGQD2a | https://www.jotform.com/uploads/champion123/220156417991155/5184326865814995717/5184326865814995717_signature_52.png | 5184326865814995717 | |||||||||||||||||||||||||||||||
16 | 2022-01-19 15:20:01 | Jeffrey | Liu | Jeffrey Liu | Yes | 07DNI | Michelle Zhang | Yaobang Wu | (210) 3936502 | jeffliu@satx.rr.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184327976823556027/E8F645A9-48A2-4D8B-9758-E7FD0A3D1C4A.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jeffrey Last Name: Liu Email: jeffliu@satx.rr.com Stripe Customer ID: cus_G8Ic4kPSbxoa8e | https://www.jotform.com/uploads/champion123/220156417991155/5184327976823556027/5184327976823556027_signature_52.png | 5184327976823556027 | ||||||||||||||||||||||||||||||
17 | 2022-01-19 15:20:46 | Jeffrey | Liu | Jeffrey Liu | Yes | 07DNI | Michelle Zhang | Yaobang Wu | (210) 3936502 | jeffliu@satx.rr.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jeffrey Last Name: Liu Email: jeffliu@satx.rr.com Stripe Customer ID: cus_G8Ic4kPSbxoa8e | https://www.jotform.com/uploads/champion123/220156417991155/5184328436824844384/5184328436824844384_signature_52.png | 5184328436824844384 | |||||||||||||||||||||||||||||||
18 | 2022-01-19 15:22:51 | James | Li | James Li | Yes | 22LPP | James Li | Yaobang Wu | (832) 7946033 | jamesli.tfa@gmail.com | Yes | Eva | Zhou | Eva Zhou | 39WGA | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184329683959862905/0862FF8C-27EF-4ECF-A051-DE0EA0B03CEC.jpeg | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Hanzheng Last Name: Li Email: jamesli.tfa@gmail.com Stripe Customer ID: cus_J61dGBwkkcdNF1 | https://www.jotform.com/uploads/champion123/220156417991155/5184329683959862905/5184329683959862905_signature_52.png | 5184329683959862905 | ||||||||||||||||||||||||
19 | 2022-01-19 15:25:54 | yanhua | Li | Yanhua Li | Yes | 27SVK | Ying Lin | Ying Lin | (206) 6608690 | yanhuali.business@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: yanhua Last Name: li Email: yanhuali.business@gmail.com Stripe Customer ID: cus_KzkDn3z3pAynRV | https://www.jotform.com/uploads/champion123/220156417991155/5184331481129905050/5184331481129905050_signature_52.png | 5184331481129905050 | |||||||||||||||||||||||||||||||
20 | 2022-01-19 15:29:04 | Yuemei | Ding | Yuemei Ding | Yes | 07BZL | Yuemei Ding | Yuemei Ding | (847) 8758977 | yuemei845@gmail.com | Yes | Yongyu | Zhao | Yongyu Zhao | 08HDC | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184333409516365672/YuemeiDingShotRecords.pdf | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184333409516365672/YongyuZhaoShotsRecords.pdf | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Yuemei Last Name: Ding Email: yuemei845@gmail.com Stripe Customer ID: cus_G60YkN3cbAUAtY | https://www.jotform.com/uploads/champion123/220156417991155/5184333409516365672/5184333409516365672_signature_52.png | 5184333409516365672 | |||||||||||||||||||||||
21 | 2022-01-19 15:34:20 | Naresh | KC | Naresh KC | Yes | 14sds | Naresh Kc | Jim You | (443) 7224428 | nareshkcus@gmail.com | Yes | sharmila | kc | Sharmila kc | 21pvh | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184336555712647375/naresh govind card.jpg | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184336555712647375/sharmila Govid shot card.jpg | 250 | Description (Amount: 250.00 USD) Subtotal: Tax: Total: 250.00 | First Name: Naresh Last Name: KC Email: nareshkcus@gmail.com Stripe Customer ID: cus_KzkLcgSXw1tBJR | https://www.jotform.com/uploads/champion123/220156417991155/5184336555712647375/5184336555712647375_signature_52.png | 5184336555712647375 | |||||||||||||||||||||||
22 | 2022-01-19 15:43:20 | RONGRONG | ZHENG | RONGRONG ZHENG | Yes | 55SAR | Rongrong Zheng | Yuemei Ding | (617) 2305563 | rongrong.zheng@outlook.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184341963811371939/COVID-19 SMART HEALTH CARD - RONGRONG ZHENG.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: RONGRONG Last Name: ZHENG Email: rongrong.zheng@outlook.com Stripe Customer ID: cus_KzkUvuRPbeuZSV | https://www.jotform.com/uploads/champion123/220156417991155/5184341963811371939/5184341963811371939_signature_52.png | 5184341963811371939 | ||||||||||||||||||||||||||||||
23 | 2022-01-19 15:43:42 | Wenxiu | Peng | Wendy Peng | Yes | 44OTT | Wendy Peng | Tang Tang Tang | (425) 7498150 | eeewendy@hotmail.com | Yes | Weiping | Tang | Weiping Tang | 46EHB | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184342182718740184/Vaccination Card-Wendy Peng.jpg | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Wenxiu Last Name: Peng Email: eeewendy@hotmail.com Stripe Customer ID: cus_G2bOQ2SLUBIpMR | https://www.jotform.com/uploads/champion123/220156417991155/5184342182718740184/5184342182718740184_signature_52.png | 5184342182718740184 | ||||||||||||||||||||||||
24 | 2022-01-19 15:46:28 | Wei | Liu | Wei Liu | Yes | 40FWQ | Wei Liu | Tang Tang Tang | (541) 7400192 | weiliufinance@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184343845323911152/Digital COVID-19 Vaccine Record_Wei Liu 40FWQ.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Wei Last Name: Liu Email: weiliufinance@gmail.com Stripe Customer ID: cus_KzkYQqU4UhWjNP | https://www.jotform.com/uploads/champion123/220156417991155/5184343845323911152/5184343845323911152_signature_52.png | 5184343845323911152 | ||||||||||||||||||||||||||||||
25 | 2022-01-19 15:46:56 | xiaorui | Yin | Iris Yin | Yes | 63tkg | Wendy Peng | Tang Tang Tang | (206) 8865486 | Irisyinxr@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184344123124228235/A35998FF-9E73-422A-B90F-5A471BB3E823.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: xiaorui Last Name: Yin Email: Irisyinxr@gmail.com Stripe Customer ID: cus_KzkYqMCBG0rGac | https://www.jotform.com/uploads/champion123/220156417991155/5184344123124228235/5184344123124228235_signature_52.png | 5184344123124228235 | ||||||||||||||||||||||||||||||
26 | 2022-01-19 15:50:23 | Yuliang | Hu | Yuliang Hu | Yes | 42SOY | Yuliang Hu | Haihong Sun | (302) 3845770 | hu.yuliang@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184346190436487791/Screenshot_20220106-200056_CamScanner.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yuliang Last Name: Hu Email: hu.yuliang@gmail.com Stripe Customer ID: cus_FwgSbp0bIthLS9 | https://www.jotform.com/uploads/champion123/220156417991155/5184346190436487791/5184346190436487791_signature_52.png | 5184346190436487791 | ||||||||||||||||||||||||||||||
27 | 2022-01-19 15:55:52 | Min | Lynch | Min Lynch | Yes | 63MXK | James Li | Yaobang Wu | (832) 6593655 | minliny2k@yahoo.com | Yes | Kevin | Lynch | Kevin Lynch | 63MXL | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184349482018896333/8A12D1F8-9FE6-47C4-A6D8-2E6733933793.jpeg | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184349482018896333/BC871BBF-CF30-4680-8EA3-4E0C1EDACC25.jpeg | 250 | Description (Amount: 250.00 USD) Subtotal: Tax: Total: 250.00 | First Name: Min Last Name: Lynch Email: minliny2k@yahoo.com Stripe Customer ID: cus_J6RVZOd2J7Jlwn | https://www.jotform.com/uploads/champion123/220156417991155/5184349482018896333/5184349482018896333_signature_52.png | 5184349482018896333 | |||||||||||||||||||||||
28 | 2022-01-19 15:58:32 | Jasmine | Yasuda | Jasmine Yasuda | Yes | 15PPH | Yanbo Wang | Yaobang Wu | (845) 6425516 | jasmineyasuda@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184351084913435436/vaccination-record.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jasmine Y Liang Last Name: Yasuda Email: jasmineyasuda@gmail.com Stripe Customer ID: cus_KzkkpFTWDm5jvt | https://www.jotform.com/uploads/champion123/220156417991155/5184351084913435436/5184351084913435436_signature_52.png | 5184351084913435436 | ||||||||||||||||||||||||||||||
29 | 2022-01-19 16:04:15 | XIAOHUA | XU | Carrie Xu | Yes | 48BUH | Carrie Xu | Ying Lin | (626) 3622844 | carriexu.biz@gmail.com | Yes | Zhibin | Liang | Ben Liang | 48BUF | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184354510319800498/Xiaohua Xu.pdf | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184354510319800498/Zhibin Liang.pdf | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: ZHIBIN Last Name: LIANG Email: carriexu.biz@gmail.com Stripe Customer ID: cus_Gphqe5xnILXIS5 | https://www.jotform.com/uploads/champion123/220156417991155/5184354510319800498/5184354510319800498_signature_52.png | 5184354510319800498 | |||||||||||||||||||||||
30 | 2022-01-19 16:09:33 | Peggy | Wang | Peggy Wang | Yes | 34HYO | Peggy Wang | Yaobang Wu | (408) 4219650 | pw1006@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184357693222608785/photo_2022-01-19_13-06-23.jpg | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Pei-Yun Last Name: Wang Email: pw1006@gmail.com Stripe Customer ID: cus_Kzkvor1OANpGJ5 | https://www.jotform.com/uploads/champion123/220156417991155/5184357693222608785/5184357693222608785_signature_52.png | 5184357693222608785 | ||||||||||||||||||||||||||||||
31 | 2022-01-19 16:20:37 | Jingyi | Tan | Tanya Tan | Yes | 80ABC | Kathy Gu | Yaobang Wu | (314) 5782815 | tanyatantan22@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184364334348551473/Vaccine.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jingyi Last Name: Tan Email: tanyatantan22@gmail.com Stripe Customer ID: cus_Kzl6oXGP3GNrkU | https://www.jotform.com/uploads/champion123/220156417991155/5184364334348551473/5184364334348551473_signature_52.png | 5184364334348551473 | ||||||||||||||||||||||||||||||
32 | 2022-01-19 16:24:26 | Amanda | Yan | Amanda Yan | Yes | 56SIZ | Haihong Sun | Haihong Sun | (646) 3936759 | yyiyan@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184366626315874521/COVID shot pic-Amanda Yan.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: YI Last Name: YAN Email: yyiyan@gmail.com Stripe Customer ID: cus_IzUtqwklQCxhWK | https://www.jotform.com/uploads/champion123/220156417991155/5184366626315874521/5184366626315874521_signature_52.png | 5184366626315874521 | ||||||||||||||||||||||||||||||
33 | 2022-01-19 16:29:03 | Yuji | Quan | 35usj | Yes | 35usj | Yuji Quan | Sophia Su | (401) 5882522 | yuji.nsfinance@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yuji Last Name: Quan Email: yuji.nsfinance@gmail.com Stripe Customer ID: cus_KzlErhDDEFj33V | https://www.jotform.com/uploads/champion123/220156417991155/5184369393611705128/5184369393611705128_signature_52.png | 5184369393611705128 | |||||||||||||||||||||||||||||||
34 | 2022-01-19 16:31:26 | Haihong | Sun | Haihong Sun | Yes | 530PR | Haihong Sun | Haihong Sun | (217) 390-5580 | haihong.sun@gmail.com | Yes | Yuzhou | Tang | Yuzhou Tang | 383QU | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184370816312566581/Haihong_COVID-19 Vaccination_202112.pdf | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184370816312566581/Yuzhou_COVID-19 Vaccination_202112.pdf | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Yuzhou Last Name: Tang Email: haihong.sun@gmail.com Stripe Customer ID: cus_KzlHFdsSkBJvgB | https://www.jotform.com/uploads/champion123/220156417991155/5184370816312566581/5184370816312566581_signature_52.png | 5184370816312566581 | |||||||||||||||||||||||
35 | 2022-01-19 16:41:47 | Terence | Hsu | Terence Hsu | Yes | 39XSN | Terence Hsu | Haihong Sun | (562) 6825368 | terencehsuagent@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184377036711378248/inbound6466745808222424006.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Terence Last Name: Hsu Email: terencehsuagent@gmail.com Stripe Customer ID: cus_KzlRNdoI2rh1Sw | https://www.jotform.com/uploads/champion123/220156417991155/5184377036711378248/5184377036711378248_signature_52.png | 5184377036711378248 | ||||||||||||||||||||||||||||||
36 | 2022-01-19 16:42:32 | Hongyan | Tu | Hongyan Tu | Yes | 45nlc | Dalai Jin | Anna Li | (925) 7868307 | tuhongyan@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184377487298933857/photo_2022-01-19_13-40-37.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Hongyan Last Name: Tu Email: tuhongyan@gmail.com Stripe Customer ID: cus_KzlSTqJuOWGw1e | https://www.jotform.com/uploads/champion123/220156417991155/5184377487298933857/5184377487298933857_signature_52.png | 5184377487298933857 | ||||||||||||||||||||||||||||||
37 | 2022-01-19 16:43:47 | Muna | Yu | Muna Yu | Yes | 42CUJ | Lily Huang | Sophia Su | (646) 915-5432 | Munayu1388@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184378230114036317/Vacination Card- Muna Yu.PDF | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Muna Last Name: Yu Email: Munayu1388@gmail.com Stripe Customer ID: cus_KzlTCvT1ZPXyB0 | https://www.jotform.com/uploads/champion123/220156417991155/5184378230114036317/5184378230114036317_signature_52.png | 5184378230114036317 | ||||||||||||||||||||||||||||||
38 | 2022-01-19 16:58:58 | Xuli | Zong | Xuli Zong | Yes | 782GE | Xuli Zong | Xuli Zong | (518) 3306423 | xuliwfg@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184387354115755012/Boostshot_vaccination-record_112821_XuliZong.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xuli Last Name: Zong Email: xuliwfg@gmail.com Stripe Customer ID: cus_GEwWu3v2A58Cff | https://www.jotform.com/uploads/champion123/220156417991155/5184387354115755012/5184387354115755012_signature_52.png | 5184387354115755012 | ||||||||||||||||||||||||||||||
39 | 2022-01-19 17:07:07 | Yu | Chen | Yu Chen | Yes | 17LWX | Yu Chen | Yuemei Ding | (765) 4093364 | chenyu.wfg@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184392237319365125/covid shot record.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yu Last Name: Chen Email: chenyu.wfg@gmail.com Stripe Customer ID: cus_GmHv0JQFWbOF6R | https://www.jotform.com/uploads/champion123/220156417991155/5184392237319365125/5184392237319365125_signature_52.png | 5184392237319365125 | ||||||||||||||||||||||||||||||
40 | 2022-01-19 17:11:46 | Hong | Jin | Maggie | Yes | 63FBI | Yu Chen | Yuemei Ding | (01) 8123915243 | amisausa@yahoo.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184395020815408171/image.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Hong Last Name: Jin Email: amisausa@yahoo.com Stripe Customer ID: cus_J2Ir5RsqJEKFLs | https://www.jotform.com/uploads/champion123/220156417991155/5184395020815408171/5184395020815408171_signature_52.png | 5184395020815408171 | ||||||||||||||||||||||||||||||
41 | 2022-01-19 17:13:00 | Yu-Huang | Lee | Yu-Huang Lee | Yes | 53QYP | Yu-Huang Lee | Haihong Sun | (646) 4274689 | yuhuang0427@hotmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184395753012155121/inbound3039175173708708620.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yu-Huang Last Name: Lee Email: yuhuang0427@hotmail.com Stripe Customer ID: cus_KzlwaZkchSWy5I | https://www.jotform.com/uploads/champion123/220156417991155/5184395753012155121/5184395753012155121_signature_52.png | 5184395753012155121 | ||||||||||||||||||||||||||||||
42 | 2022-01-19 17:20:33 | Fengling | Song | Grace | Yes | 28HAE | Lixin Cui | Ying Lin | (425) 6234176 | fengling306@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184400299112419204/Covid-19 Certificate.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Fengling Last Name: Song Email: fengling306@gmail.com Stripe Customer ID: cus_Kzm47fd1np0yoJ | https://www.jotform.com/uploads/champion123/220156417991155/5184400299112419204/5184400299112419204_signature_52.png | 5184400299112419204 | ||||||||||||||||||||||||||||||
43 | 2022-01-19 17:25:13 | Jay | Shi | Jay Shi | Yes | 27JAT | Jay Shi | Xuli Zong | (646) 3690044 | uwatca@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jay Last Name: Shi Email: uwatca@gmail.com Stripe Customer ID: cus_GmhyGZ0ykk8hqE | https://www.jotform.com/uploads/champion123/220156417991155/5184403101119907504/5184403101119907504_signature_52.png | 5184403101119907504 | |||||||||||||||||||||||||||||||
44 | 2022-01-19 17:37:50 | Jin | Chen | Jin Chen | Yes | 51KXY | Ying Lin | Ying Lin | (206) 8492996 | chenjin198005@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184410664985968362/Jin Chen Covid Vaccination.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jin Last Name: Chen Email: chenjin198005@gmail.com Stripe Customer ID: cus_KzmLA8E3gHMdpd | https://www.jotform.com/uploads/champion123/220156417991155/5184410664985968362/5184410664985968362_signature_52.png | 5184410664985968362 | ||||||||||||||||||||||||||||||
45 | 2022-01-19 17:40:17 | Julie H | Lin | Julie Lin | Yes | 19SXP | Julie Lin | Yaobang Wu | (408) 228-2271 | julie.tax.finance@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184412137619754984/IMG_2644.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Julie H Last Name: Lin Email: julie.tax.finance@gmail.com Stripe Customer ID: cus_GmHuwHlLjutF1V | https://www.jotform.com/uploads/champion123/220156417991155/5184412137619754984/5184412137619754984_signature_52.png | 5184412137619754984 | ||||||||||||||||||||||||||||||
46 | 2022-01-19 17:47:48 | sophia | su | Sophia Su | Yes | 12odb | Sophia Su | Sophia Su | (574) 3022739 | sophia.nsu@gmail.com | Yes | Albert | Wang | Albert Wang | 13TBG | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184416647714922545/Vaccacine_Sophia Su.pdf | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Ning Last Name: Su Email: sophia.nsu@gmail.com Stripe Customer ID: cus_KzmVc18J5RjQmT | https://www.jotform.com/uploads/champion123/220156417991155/5184416647714922545/5184416647714922545_signature_52.png | 5184416647714922545 | ||||||||||||||||||||||||
47 | 2022-01-19 17:50:41 | Michelle | Mai | Michelle Mai | Yes | 71CGV | Nan Li | Cathy Xia | (412) 9736483 | xueyunmai@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184418372124344473/IMG_20220119_154739449_HDR.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Michelle Last Name: Mai Email: xueyunmai@gmail.com Stripe Customer ID: cus_KzmYkT9q4Kjwn5 | https://www.jotform.com/uploads/champion123/220156417991155/5184418372124344473/5184418372124344473_signature_52.png | 5184418372124344473 | ||||||||||||||||||||||||||||||
48 | 2022-01-19 18:06:05 | Cheng Chuan | Chiu | Jenny Chiu | Yes | 15fzx | Jenny Chiu | Haihong Sun | (845) 5444550 | aguan19@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184427603115301352/47B7108C-E253-4C05-808A-92029AFA7640.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Cheng chuan Last Name: Chiu Email: aguan19@gmail.com Stripe Customer ID: cus_KzmnYmNUJ0izuV | https://www.jotform.com/uploads/champion123/220156417991155/5184427603115301352/5184427603115301352_signature_52.png | 5184427603115301352 | ||||||||||||||||||||||||||||||
49 | 2022-01-19 18:08:55 | Ni | Li | Jean Li | Yes | 21CPY | Jean Li | Ying Lin | (503) 9270809 | jeanliwfg@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Ni Last Name: Li Email: jeanliwfg@gmail.com Stripe Customer ID: cus_J2hhqzluNvR0he | https://www.jotform.com/uploads/champion123/220156417991155/5184429326118707056/5184429326118707056_signature_52.png | 5184429326118707056 | |||||||||||||||||||||||||||||||
50 | 2022-01-19 18:18:25 | Chinju | Hsiao | Jean Hsiao | Yes | 17ABA | Jean Hsiao | Haihong Sun | (269) 8731436 | cjean.hsiao@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184435017229899518/FC6A10EC-F28D-4044-ABCC-D86DE7F1CECC.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Chinju Last Name: Hsiao Email: cjean.hsiao@gmail.com Stripe Customer ID: cus_Kzn0QsqYNVu7za | https://www.jotform.com/uploads/champion123/220156417991155/5184435017229899518/5184435017229899518_signature_52.png | 5184435017229899518 | ||||||||||||||||||||||||||||||
51 | 2022-01-19 18:25:18 | Zheng | Yu | Peter Yu | Yes | 08ehu | Jojo Zhou | Ying Lin | (503) 8806042 | zhengpeteryu@gmail.com | Yes | Haijing | Jin | Hanna Jin | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184439147746559431/PETER BOOSTER.pdf | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184439147746559431/HAIJING BOOSTER.pdf | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Zheng Last Name: Yu Email: zhengpeteryu@gmail.com Stripe Customer ID: cus_J2VCv6dmIOKY6Z | https://www.jotform.com/uploads/champion123/220156417991155/5184439147746559431/5184439147746559431_signature_52.png | 5184439147746559431 | ||||||||||||||||||||||||
52 | 2022-01-19 18:29:58 | Yaobang | Wu | Yaobang Wu | Yes | 334PD | Yaobang Wu | Yaobang Wu | (281) 8811401 | michelleqiu@yahoo.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xiaotong Last Name: Qiu Email: michelleqiu@yahoo.com Stripe Customer ID: cus_KznBfWfOUCqz1P | https://www.jotform.com/uploads/champion123/220156417991155/5184441946798116672/5184441946798116672_signature_52.png | 5184441946798116672 | |||||||||||||||||||||||||||||||
53 | 2022-01-19 18:33:03 | Xiaotong | Qiu | Xiaotong Qiu | Yes | 334PD | Yaobang Wu | Yaobang Wu | (281) 8811401 | michelleqiu@yahoo.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xiaotong Last Name: Qiu Email: michelleqiu@yahoo.com Stripe Customer ID: cus_KznBfWfOUCqz1P | https://www.jotform.com/uploads/champion123/220156417991155/5184443816796332825/5184443816796332825_signature_52.png | 5184443816796332825 | |||||||||||||||||||||||||||||||
54 | 2022-01-19 18:33:09 | Xiaojun | Ma | Xiaojun Ma | Yes | 52UKX | Xiaojun Ma | Tang Tang Tang | (781) 3662291 | xiaojunmadtu@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184443857819161369/vaccine record_XiaojunMa.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xiaojun Last Name: Ma Email: xiaojunmadtu@gmail.com Stripe Customer ID: cus_J9GprIdaVKtutW | https://www.jotform.com/uploads/champion123/220156417991155/5184443857819161369/5184443857819161369_signature_52.png | 5184443857819161369 | ||||||||||||||||||||||||||||||
55 | 2022-01-19 18:43:54 | Pinwen | Wang | Wendy Wang | Yes | 66ATI | Lixin Cui | Ying Lin | (425) 2836661 | drwangbusiness@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184450307318611254/Wendy_vaccine.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: pin-wen Last Name: wang Email: drwangbusiness@gmail.com Stripe Customer ID: cus_KznPkLvJ2N7ZRS | https://www.jotform.com/uploads/champion123/220156417991155/5184450307318611254/5184450307318611254_signature_52.png | 5184450307318611254 | ||||||||||||||||||||||||||||||
56 | 2022-01-19 18:58:55 | Amy | Cai | Amy Cai | Yes | 28BGO | Amy Cai | Rocky Shi | (202) 3207358 | sofamilyinvestment@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184459311815152395/Amy Booster.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Hanyi Last Name: Cai Email: sofamilyinvestment@gmail.com Stripe Customer ID: cus_IzqpMy8Nclaqs6 | https://www.jotform.com/uploads/champion123/220156417991155/5184459311815152395/5184459311815152395_signature_52.png | 5184459311815152395 | ||||||||||||||||||||||||||||||
57 | 2022-01-19 19:05:54 | Ying | Lin | Ying Lin | Yes | 02nee | Ying Lin | Ying Lin | (503) 5159992 | linkying@gmail.com | Yes | Qiao | Lin | Qiao Lin | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 250 | Description (Amount: 250.00 USD) Subtotal: Tax: Total: 250.00 | First Name: Ying Last Name: Lin Email: linkying@gmail.com Stripe Customer ID: cus_J2LuA5Czg4MHDc | https://www.jotform.com/uploads/champion123/220156417991155/5184463501614507223/5184463501614507223_signature_52.png | 5184463501614507223 | ||||||||||||||||||||||||||
58 | 2022-01-19 19:17:50 | Chi | Zhang | Chi Zhang | Yes | 15vmb | Chi Zhang | Anna Li | (646) 4622418 | chizhang32@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184470660422047881/D89F8133-C7E0-451D-A871-2C9EEA236E47.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Chi Last Name: Zhang Email: chizhang32@gmail.com Stripe Customer ID: cus_KznxPyswzfXQZG | https://www.jotform.com/uploads/champion123/220156417991155/5184470660422047881/5184470660422047881_signature_52.png | 5184470660422047881 | ||||||||||||||||||||||||||||||
59 | 2022-01-19 19:36:02 | Li | Li | Anna Li | Yes | 156QF | Anna Li | Rocky Shi | (408) 8938310 | lanna889@yahoo.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184481589315516216/Shots approved.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Li Last Name: Li Email: lanna889@yahoo.com Stripe Customer ID: cus_GmQEnOc2hejTVM | https://www.jotform.com/uploads/champion123/220156417991155/5184481589315516216/5184481589315516216_signature_52.png | 5184481589315516216 | ||||||||||||||||||||||||||||||
60 | 2022-01-19 19:38:39 | Wei | Yong | Wei Yong | Yes | 10EGR | Wei Yong | Joanne Su | (262) 3276016 | wei.yong.business@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184483155218526360/PXL_20220120_003636139.MP.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Wei Last Name: Yong Email: wei.yong.business@gmail.com Stripe Customer ID: cus_KzoIJLqBF4sZ9L | https://www.jotform.com/uploads/champion123/220156417991155/5184483155218526360/5184483155218526360_signature_52.png | 5184483155218526360 | ||||||||||||||||||||||||||||||
61 | 2022-01-19 20:12:01 | Shengying | Li | Emma Li | Yes | 25wwk | Emma Li | Haihong Sun | (631) 8079496 | shengying2013@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184503173516147123/Shengying Li Cvoid Vaccine card.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Shengying Last Name: Li Email: shengying2013@gmail.com Stripe Customer ID: cus_GnXa5dKKfI6xaO | https://www.jotform.com/uploads/champion123/220156417991155/5184503173516147123/5184503173516147123_signature_52.png | 5184503173516147123 | ||||||||||||||||||||||||||||||
62 | 2022-01-19 20:19:12 | Yanbo | Wang | Yanbo Wang | Yes | 36PUK | Yanbo Wang | Yaobang Wu | (832) 4913489 | Wangyanbo@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184507477514464581/mmexport1642641287280.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yanbo Last Name: Wang Email: Wangyanbo@gmail.com Stripe Customer ID: cus_KzowBe4R5N4Fwa | https://www.jotform.com/uploads/champion123/220156417991155/5184507477514464581/5184507477514464581_signature_52.png | 5184507477514464581 | ||||||||||||||||||||||||||||||
63 | 2022-01-19 20:34:37 | Vickie | Chiang | Vickie Chiang | Yes | 15DOY | Vickie Chiang | Haihong Sun | (650) 7998977 | chiangweijung@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184516734284717481/Vickie Vaccine.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Weijung Last Name: Chiang Email: chiangweijung@gmail.com Stripe Customer ID: cus_J83ZJJIihvS4rF | https://www.jotform.com/uploads/champion123/220156417991155/5184516734284717481/5184516734284717481_signature_52.png | 5184516734284717481 | ||||||||||||||||||||||||||||||
64 | 2022-01-19 20:37:40 | Julie | Luey | Julie Luey | Yes | 62BYE | Ying Lin | Ying Lin | (503) 5498327 | jluey@comcast.net | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184518551224241838/189CA60E-49B3-412B-A987-FC3D365A4443.jpeg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Julie Last Name: Luey Email: jluey@comcast.net Stripe Customer ID: cus_KzpFQlYEouosMY | https://www.jotform.com/uploads/champion123/220156417991155/5184518551224241838/5184518551224241838_signature_52.png | 5184518551224241838 | ||||||||||||||||||||||||||||||
65 | 2022-01-19 20:49:04 | Xujie | Zhang | Xujie Zhang | Yes | 09zuv | Xujie Zhang | Xuli Zong | (631) 8333935 | sweatfly@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xujie Last Name: Zhang Email: sweatfly@gmail.com Stripe Customer ID: cus_J2LIIh45Ctc2xw | https://www.jotform.com/uploads/champion123/220156417991155/5184525413932310437/5184525413932310437_signature_52.png | 5184525413932310437 | |||||||||||||||||||||||||||||||
66 | 2022-01-19 20:55:13 | Hao | Wang | Hao wang | Yes | 20wjs | Hao Wang | Sophia Su | (646) 3206384 | haowang98@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184529090715362416/Image1.png | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Hao Last Name: Wang Email: haowang98@gmail.com Stripe Customer ID: cus_J0c6YW6IftNwXE | https://www.jotform.com/uploads/champion123/220156417991155/5184529090715362416/5184529090715362416_signature_52.png | 5184529090715362416 | ||||||||||||||||||||||||||||||
67 | 2022-01-19 20:59:21 | Olga | Cherevatenko | Olga Cherevatenko MD | Yes | 59GNF | Ying Lin | Ying Lin | (503) 9987706 | olgacher1@gmail.com | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184531568777632388/20220119_173354.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Olga Last Name: Cherevatenko Email: olgacher1@gmail.com Stripe Customer ID: cus_KzpaEh1ha89XMj | https://www.jotform.com/uploads/champion123/220156417991155/5184531568777632388/5184531568777632388_signature_52.png | 5184531568777632388 | ||||||||||||||||||||||||||||||
68 | 2022-01-19 21:27:58 | Sam | Liu | Sam Liu | Yes | 13RLQ | Sam Liu | Yaobang Wu | (510) 557-5556 | sam_liu1088@yahoo.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184548742813717249/Covid_Card_Sam_Liu.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: N Sam Last Name: Liu Email: sam_liu1088@yahoo.com Stripe Customer ID: cus_Kzq3MbZBxPo5Kd | https://www.jotform.com/uploads/champion123/220156417991155/5184548742813717249/5184548742813717249_signature_52.png | 5184548742813717249 | ||||||||||||||||||||||||||||||
69 | 2022-01-19 21:40:08 | SiauSing | Bee | Elisa Bee | Yes | 45ovz | Xiangqian Liu | Xuli Zong | (484) 8687881 | esing0427@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184556030411331303/Covid Vaccine Card.JPG | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: SiauSing Last Name: Bee Email: esing0427@gmail.com Stripe Customer ID: cus_KzqFQ48Yh2C6YA | https://www.jotform.com/uploads/champion123/220156417991155/5184556030411331303/5184556030411331303_signature_52.png | 5184556030411331303 | ||||||||||||||||||||||||||||||
70 | 2022-01-19 22:25:30 | Rachel | Hsueh | Rachel Hsueh | Yes | 80XDQ | Jenny Chiu | Haihong Sun | (919) 6718380 | rhsueh42@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184583267978010695/COVID Proof.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Rachel Last Name: Hsueh Email: rhsueh42@gmail.com Stripe Customer ID: cus_KzqzOWJH64NMkT | https://www.jotform.com/uploads/champion123/220156417991155/5184583267978010695/5184583267978010695_signature_52.png | 5184583267978010695 | ||||||||||||||||||||||||||||||
71 | 2022-01-19 22:38:42 | Zhaohui | Fan | Zhaohui Fan | Yes | 28WBB | Yaobang Wu | Yaobang Wu | (850) 3457878 | fanluck@hotmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184591176711712266/Zhaohui_covid_shot_1_2_2022.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Zhaohui Last Name: Fan Email: fanluck@hotmail.com Stripe Customer ID: cus_KzrC3DyJbmWVc9 | https://www.jotform.com/uploads/champion123/220156417991155/5184591176711712266/5184591176711712266_signature_52.png | 5184591176711712266 | ||||||||||||||||||||||||||||||
72 | 2022-01-19 22:39:29 | Shuiqing | Ding | Shuiqing Ding | Yes | 35qbk | Dianxia Wang | Dianxia Wang | (919) 8008742 | dingshuiqing@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184591662213401303/Booster.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Shuiqing Last Name: Ding Email: dingshuiqing@gmail.com Stripe Customer ID: cus_J8FLatxMyupBzz | https://www.jotform.com/uploads/champion123/220156417991155/5184591662213401303/5184591662213401303_signature_52.png | 5184591662213401303 | ||||||||||||||||||||||||||||||
73 | 2022-01-19 22:41:43 | Geping | Wu | Geping Wu | Yes | 28WKQ | Geping Wu | Xuli Zong | (301) 5009891 | geping.wu@tfaconnect.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Geping Last Name: Wu Email: geping.wu@tfaconnect.com Stripe Customer ID: cus_KzrFnUxNEXcLLe | https://www.jotform.com/uploads/champion123/220156417991155/5184593000569760368/5184593000569760368_signature_52.png | 5184593000569760368 | |||||||||||||||||||||||||||||||
74 | 2022-01-19 22:58:36 | joanne | su | Joanne Su | Yes | 8409N | Joanne Su | Joanne Su | (734) 5648248 | jjsu19087@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184603128654440195/photo_2022-01-19_22-55-07.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Joanne Last Name: su Email: jjsu19087@gmail.com Stripe Customer ID: cus_J93bOchdKM6req | https://www.jotform.com/uploads/champion123/220156417991155/5184603128654440195/5184603128654440195_signature_52.png | 5184603128654440195 | ||||||||||||||||||||||||||||||
75 | 2022-01-19 23:01:00 | Zhihong | Dong | Zhihong Dong | Yes | 06VHZ | Yaobang Wu | Yaobang Wu | (734) 9721797 | zhihong.dong@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184604563316603915/Covid-19 vaccination records.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Zhihong Last Name: Dong Email: zhihong.dong@gmail.com Stripe Customer ID: cus_J3UIKQJyit8Hxa | https://www.jotform.com/uploads/champion123/220156417991155/5184604563316603915/5184604563316603915_signature_52.png | 5184604563316603915 | ||||||||||||||||||||||||||||||
76 | 2022-01-19 23:11:00 | Dongming | Wang | Donna Wang | Yes | 28AWN | Dongming Wang | Xuli Zong | (703) 2007455 | donna.wang@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184610560405481837/vaccine_3_20210102_prt.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Dongming Last Name: Wang Email: donna.wang@gmail.com Stripe Customer ID: cus_KzrieDCg9PEGTk | https://www.jotform.com/uploads/champion123/220156417991155/5184610560405481837/5184610560405481837_signature_52.png | 5184610560405481837 | ||||||||||||||||||||||||||||||
77 | 2022-01-19 23:20:01 | Rajesh | Rajak | Rajesh Rajk | Yes | 60FCU | Naresh Kc | Jim You | (443) 8032631 | rajeshkumarrajak07@gmail.com | Yes | Chandrawati | Dhawal | Chandrawati Dhawal | 62 JXH | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184615965717441362/rajesh Covid.jpeg | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184615965717441362/Chandrwawti covid.jpeg | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: Rajesh Last Name: Rajk Email: rajeshkumarrajak07@gmail.com Stripe Customer ID: cus_KzrruY2xdbClW5 | https://www.jotform.com/uploads/champion123/220156417991155/5184615965717441362/5184615965717441362_signature_52.png | 5184615965717441362 | |||||||||||||||||||||||
78 | 2022-01-19 23:21:01 | xiuxiang | jiang | Theone Jiang | Yes | 22mks | Haihong Sun | Haihong Sun | (917) 3303892 | nytheone@hotmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184616572531227790/2b0ea32dfa193f41c837609393d44d9.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: xiuxiang Last Name: jiang Email: nytheone@hotmail.com Stripe Customer ID: cus_KzrsYVt6DNt0yW | https://www.jotform.com/uploads/champion123/220156417991155/5184616572531227790/5184616572531227790_signature_52.png | 5184616572531227790 | ||||||||||||||||||||||||||||||
79 | 2022-01-19 23:31:15 | Jianxiang | Li | Jason Li | Yes | 09VTR | Jason Li | Joanne Su | (414) 4675340 | jianxiangli@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184622710515831452/IMG_20211226_164434.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Jianxiang Last Name: Li Email: jianxiangli@gmail.com Stripe Customer ID: cus_J8SLuwQg9STAkJ | https://www.jotform.com/uploads/champion123/220156417991155/5184622710515831452/5184622710515831452_signature_52.png | 5184622710515831452 | ||||||||||||||||||||||||||||||
80 | 2022-01-19 23:37:56 | Xiaozhou | Wang | Victoria Wang | Yes | 76WLK | Yanbo Wang | Yaobang Wu | (281) 2246017 | xwang.vic@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Frank Last Name: Yuan Email: xwang.vic@gmail.com Stripe Customer ID: cus_Kzs9AUUV5wEvNv | https://www.jotform.com/uploads/champion123/220156417991155/5184626729018943714/5184626729018943714_signature_52.png | 5184626729018943714 | |||||||||||||||||||||||||||||||
81 | 2022-01-19 23:42:08 | BoJhen | Hu | Bo-Jhen Hu | Yes | 81ZDM | Jenny Chiu | Haihong Sun | (240) 4770042 | hubj2021@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184629235519639179/IMG_2368_white out.JPG | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: BoJhen Last Name: Hu Email: hubj2021@gmail.com Stripe Customer ID: cus_KzsDkusS6UIiRu | https://www.jotform.com/uploads/champion123/220156417991155/5184629235519639179/5184629235519639179_signature_52.png | 5184629235519639179 | ||||||||||||||||||||||||||||||
82 | 2022-01-19 23:45:05 | PRASHARAM | DEVKOTA | PRASHARAM DEVKOTA | Yes | 64KSN | Rajesh Rajak | Jim You | (443) 6005025 | PRASHARAMD@GMAIL.COM | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184631015717117504/pr COVID.PNG | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: PRASHARAM Last Name: DEVKOTA Email: PRASHARAMD@GMAIL.COM Stripe Customer ID: cus_KzsG7jA6y033Pi | https://www.jotform.com/uploads/champion123/220156417991155/5184631015717117504/5184631015717117504_signature_52.png | 5184631015717117504 | ||||||||||||||||||||||||||||||
83 | 2022-01-19 23:48:28 | Sonika | Chunara | Sonika Chunara | Yes | 68smi | Rajesh Rajak | Jim You | (443) 8589590 | chunara.sonika@Gmail.com | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184633046028666743/Vaccination Card.jpg | 100 | Description (Amount: 100.00 USD) Subtotal: Tax: Total: 100.00 | First Name: sonika Last Name: chunara Email: chunara.sonika@Gmail.com Stripe Customer ID: cus_KzsK3JPTkhoz7r | https://www.jotform.com/uploads/champion123/220156417991155/5184633046028666743/5184633046028666743_signature_52.png | 5184633046028666743 | ||||||||||||||||||||||||||||||
84 | 2022-01-19 23:49:56 | DEEPMALA | CENTURY | DEEPMALA CENTURY | Yes | 82UWP | Rajesh Rajak | Jim You | (443) 8505778 | DEEPMALA.CENTURY@GMAIL.COM | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: DEEPMALA Last Name: CENTURY Email: DEEPMALA.CENTURY@GMAIL.COM Stripe Customer ID: cus_KzsL8m5Nve3ejH | https://www.jotform.com/uploads/champion123/220156417991155/5184633935714850522/5184633935714850522_signature_52.png | 5184633935714850522 | |||||||||||||||||||||||||||||||
85 | 2022-01-19 23:54:43 | Xiangyun | Xiao | Xiangyun Xiao | Yes | 41ALC | Yuliang Hu | Haihong Sun | (314) 4787188 | xiangyun.xiao2012@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xiangyun Last Name: Xiao Email: xiangyun.xiao2012@gmail.com Stripe Customer ID: cus_KzsQGCtd1VUuzP | https://www.jotform.com/uploads/champion123/220156417991155/5184636793421249922/5184636793421249922_signature_52.png | 5184636793421249922 | |||||||||||||||||||||||||||||||
86 | 2022-01-20 0:05:50 | DINESH | PANTHA | DINESH PANTHA | Yes | 68XFB | Rajesh Rajak | Jim You | (703) 3648743 | DRPANTA143@GMAIL.COM | Yes | LAXMI | KAFLE | LAXMI KAFLE | 84TZM | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 300 | Description (Amount: 300.00 USD) Subtotal: Tax: Total: 300.00 | First Name: DINESH Last Name: PANTHA Email: DRPANTA143@GMAIL.COM Stripe Customer ID: cus_KzsbPLaAYxWKca | https://www.jotform.com/uploads/champion123/220156417991155/5184643475717512317/5184643475717512317_signature_52.png | 5184643475717512317 | |||||||||||||||||||||||||
87 | 2022-01-20 0:37:52 | Haoxin | Luo | Coco Luo | Yes | 84BFD | Lixin Cui | Ying Lin | (918) 5081520 | hluo1999@uw.edu | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 100 | Description (Amount: 100.00 USD) Subtotal: Tax: Total: 100.00 | First Name: Haoxin Last Name: Luo Email: hluo1999@uw.edu Stripe Customer ID: cus_Kzt79Q98PoK2gy | https://www.jotform.com/uploads/champion123/220156417991155/5184662670611477787/5184662670611477787_signature_52.png | 5184662670611477787 | |||||||||||||||||||||||||||||||
88 | 2022-01-20 0:45:38 | Ling | Xu | Ling Xu | Yes | 14JEJ | Ling Xu | Xuli Zong | (607) 2275230 | lingxu29@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184667359029240422/Covid 19 Vaccination record card_Ling.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Ling Last Name: Xu Email: lingxu29@gmail.com Stripe Customer ID: cus_FsizKD4qgOP63E | https://www.jotform.com/uploads/champion123/220156417991155/5184667359029240422/5184667359029240422_signature_52.png | 5184667359029240422 | ||||||||||||||||||||||||||||||
89 | 2022-01-20 1:20:19 | Theresa | Kung | Theresa | Yes | 29QGE | Theresa Kung | Haihong Sun | (415) 6085356 | theresakung1108@gmail.com | Yes | Fei | Han | Fei Han | 30VDB | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184688142135052649/theresa 's.jpg | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184688142135052649/fei's.jpg | 250 | Description (Amount: 250.00 USD) Subtotal: Tax: Total: 250.00 | First Name: Theresa Last Name: Kung Email: theresakung1108@gmail.com Stripe Customer ID: cus_KztnS9cH2DaxVb | https://www.jotform.com/uploads/champion123/220156417991155/5184688142135052649/5184688142135052649_signature_52.png | 5184688142135052649 | |||||||||||||||||||||||
90 | 2022-01-20 1:21:02 | Xin | Good | Xin Chen Good | Yes | 28LYJ | Xin Good | Ying Lin | (503) 7806475 | Goodxin2014@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184688586917054805/Xin Good Vaccine card.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Xin Last Name: Good Email: Goodxin2014@gmail.com Stripe Customer ID: cus_KztoA6kedgjP4y | https://www.jotform.com/uploads/champion123/220156417991155/5184688586917054805/5184688586917054805_signature_52.png | 5184688586917054805 | ||||||||||||||||||||||||||||||
91 | 2022-01-20 1:36:45 | Haifeng | Huang | Mia Huang | Yes | 78JMW | Jean Hsiao | Haihong Sun | (631) 7075116 | haifeng31147@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184698014124847227/7C1AC49B-6CEB-40AE-A38F-4537657AB312.png | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Feng Last Name: Huang Email: haifeng31147@gmail.com Stripe Customer ID: cus_Kzu4qgmmu4QSZU | https://www.jotform.com/uploads/champion123/220156417991155/5184698014124847227/5184698014124847227_signature_52.png | 5184698014124847227 | ||||||||||||||||||||||||||||||
92 | 2022-01-20 1:42:33 | Yuanfang | Jiao | Yuanfang Jiao | Yes | 44PFX | Chi Zhang | Anna Li | (785) 3170808 | jiaoyuanfang@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184701492392066572/image.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yuanfang Last Name: Jiao Email: jiaoyuanfang@gmail.com Stripe Customer ID: cus_KzuAnukjZolqOP | https://www.jotform.com/uploads/champion123/220156417991155/5184701492392066572/5184701492392066572_signature_52.png | 5184701492392066572 | ||||||||||||||||||||||||||||||
93 | 2022-01-20 1:52:46 | Hongwei | Zhang | Hongwei Zhang | Yes | 74MTG | Lori Zhang | Rocky Shi | (202) 285-2743 | hz.hongwei.zhang@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184707471616644160/covid-19-vaccination-card 3_Hongwei Zhang.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Hongwei Last Name: Zhang Email: hz.hongwei.zhang@gmail.com Stripe Customer ID: cus_KzuKgyvyVe9O2Y | https://www.jotform.com/uploads/champion123/220156417991155/5184707471616644160/5184707471616644160_signature_52.png | 5184707471616644160 | ||||||||||||||||||||||||||||||
94 | 2022-01-20 2:03:13 | Michael | Chin | Mike Chin | Yes | 30NGI | Xin Good | Ying Lin | (916) 4767456 | mike.chin45WFG@gmail.com | No | ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) ENGLISH Monday Train the Trainer session*, Feb. 28th, $50 (ENGLISH) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Michael Last Name: Chin Email: mike.chin45WFG@gmail.com Stripe Customer ID: cus_KzuUi0g9u20zrR | https://www.jotform.com/uploads/champion123/220156417991155/5184713900329099283/5184713900329099283_signature_52.png | 5184713900329099283 | |||||||||||||||||||||||||||||||
95 | 2022-01-20 2:21:15 | Lin | Gou | Lin Gou | Yes | 53FMT | Hao Wang | Sophia Su | (310) 2372050 | lingou72@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184724719069732320/COVID 19 vac record_lin gou.pdf | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: lin Last Name: gou Email: lingou72@gmail.com Stripe Customer ID: cus_J8pjGyo2TkbzHS | https://www.jotform.com/uploads/champion123/220156417991155/5184724719069732320/5184724719069732320_signature_52.png | 5184724719069732320 | ||||||||||||||||||||||||||||||
96 | 2022-01-20 7:21:52 | Juichun | Chen | Ann Chen | Yes | 76RHT | Peggy Wang | Yaobang Wu | (301) 5386304 | cjuichun@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184905075421958085/original_d9924e20-92f1-44b0-ba55-f7b3f9f2b33d_PXL_20211223_170315043.MP.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Juichun Last Name: Chen Email: cjuichun@gmail.com Stripe Customer ID: cus_KzzdVoa6IoVaRc | https://www.jotform.com/uploads/champion123/220156417991155/5184905075421958085/5184905075421958085_signature_52.png | 5184905075421958085 | ||||||||||||||||||||||||||||||
97 | 2022-01-20 8:03:31 | Qiongying | Ye | June Ye | Yes | 21VZZ | June Ye | Sophia Su | (203) 7881686 | juneye05@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Qiongying Last Name: Ye Email: juneye05@gmail.com Stripe Customer ID: cus_J0cCMilsLR7rg1 | https://www.jotform.com/uploads/champion123/220156417991155/5184930068714598057/5184930068714598057_signature_52.png | 5184930068714598057 | |||||||||||||||||||||||||||||||
98 | 2022-01-20 8:17:40 | Ying | Sun | Ying Sun | Yes | 46ZIQ | Ying Sun | Anna Li | (864) 6508418 | Ying.Sun@fincoach.us | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184938565229421079/Vaccine.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Ying Last Name: Sun Email: Ying.Sun@fincoach.us Stripe Customer ID: cus_L00XYSeDjeEzY7 | https://www.jotform.com/uploads/champion123/220156417991155/5184938565229421079/5184938565229421079_signature_52.png | 5184938565229421079 | ||||||||||||||||||||||||||||||
99 | 2022-01-20 9:56:21 | Diana | Yang | Diana Yang | Yes | 29bdm | Diana Yang | Sophia Su | (203) 9521442 | dzheng800@gmail.com | No | CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) ENGLISH Saturday & Sunday General session, Feb. 26th-27th, $100 (ENGLISH) | I have taken the booster shot | https://www.jotform.com/uploads/champion123/220156417991155/5184997775418762812/image.jpg | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Diana Last Name: Yang Email: dzheng800@gmail.com Stripe Customer ID: cus_J7hkrp8Y47L02T | https://www.jotform.com/uploads/champion123/220156417991155/5184997775418762812/5184997775418762812_signature_52.png | 5184997775418762812 | ||||||||||||||||||||||||||||||
100 | 2022-01-20 10:26:34 | Yvonne | Chen | Yvonne Chen | Yes | 81LYM | Peggy Wang | Yaobang Wu | (816) 5728868 | yvonnechen.twn@gmail.com | No | CHINESE Saturday & Sunday General session, Feb. 26th-27th, $100 (CHINESE) CHINESE Monday Train the Trainer session*, Feb. 28th, $50 (CHINESE) | I'll have my Covid-19 test result within 48 hours of the event date ready (will be checked for tickets pickup) | 150 | Description (Amount: 150.00 USD) Subtotal: Tax: Total: 150.00 | First Name: Yvonne Last Name: Chen Email: yvonnechen.twn@gmail.com Stripe Customer ID: cus_L02c63M4S2ItOa | https://www.jotform.com/uploads/champion123/220156417991155/5185015919917910439/5185015919917910439_signature_52.png | 5185015919917910439 |