Account Details Username (required)Email Address (required) Choose a Password (required) Strength indicator Confirm use of weak password Confirm new password Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). Profile Details First and Last Name (required) This field may be seen by: Everyone Email (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Phone Number (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close If you have assistant handling communication, please put their name and email here This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close HEADSHOT (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Headshot #2 This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Your professional title 100 character MAX ( brag, brag and brag here ⭐ ) (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Short BIO 50-60 words (about 400 characters) (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Title for your talk/workshop (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Description of your talk (required) (So I can introduce you properly and include in the email campaign copy. What is the 3 main points of your talk, or 3 main takeaways that the audience will walk out with) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Free gift description (what they will get after downloads your gift) (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close What questions would you like to be asked? What question will help you to shine the most? (drop 3-4 questions) (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Email LIST SIZE (required) ----1001-3000 This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Website (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close FB Page/Profile This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Facebook Group This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close IG This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close LinkedIn This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Are there any other inspiring Speakers who you think would make great contributors to the "PurposeFULL Women Retreat"? (required) If yes, could you please put their name and contact info here? Thank you This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Anything else you would like to add? Any Questions? This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close If you have Affiliate Program (in case we doing affiliate sales) please drop link here so I can register. This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close My Affiliate Program (required) My Affiliate Program. Must sign up (takes 2 min) Thank you.https://purposefullday.com/join/ This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Where do you live City + Country? (Time Zone) (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Your Story Video Link (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close
