CHANGE YOUR LIFE MASTERMIND + RETREAT FORM

1
Best Email
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
2
Name + Business
Full Name
Business Name
3
What do you do in your business?
4
Mailing AddressYou don't *have to include this, but if you do & you join the mastermind, you'll be receiving several surprises in the mail from me, including your welcome box!
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Which are you interested in?CHANGE YOUR LIFE MASTERMIND + RETREAT has: *6 spots available for Mastermind + Retreat {your cost includes an all-inclusive 3 day, 2 night self-care retreat in Miami, FL/Key Biscayne (minus travel to/from location)} & *6 spots available for Mastermind ONLY. ALL participants will be able to attend the 2 VIP Days in Miami, FL. {coaching + dinner at the beach}
Mastermind + Retreat
Mastermind Only
6
Why do you feel like a good fit for this sisterhood?
Huge
Large
Normal
Small
Ok
Ok
7
Mastermind groups are a collective of equally brilliant minds that come together to support, brainstorm & grow. What will you bring to the table that you believe will support the other women in the group?
8
In this mastermind, we will be working in close quarters with each other in a very detailed & open way. Do you agree not to poach or copy the ideas of other women in the group?
AGREEDISAGREE
9
There will be absolutely NO bullying allowed in this group. We understand everyone will have good/bad days & this group container will be a safe place for high-vibrational sisterhood & support at all times. {by coaches AND members}
AGREEDISAGREE
10
This Mastermind + Retreat is a high-level, 4 figure investment. {payment plans & options available for everyone} Are you financially capable of making this investment & still meeting your basic needs?
YES!
Probably, but I need some help with my mindset
No
I am capable. I'm not sure on the 'how' but I'm going to figure out a way to make this work!
11
It is only $499 down to hold your spot in the mastermind & that will come out of your 1st month's payment {if you're doing a payment plan}. If you join the mastermind after March 15th, you'll have to pay your full 1st month's payment.

$1,555 / mo. WITH retreat {6 spots available} ; April payment after downpayment = $1,056

$1,111 / mo. withOUT retreat {6 spots available} ; April payment after downpayment = $612

***will also have other payment plans/options available. I can be flexible about payments - JUST ASK!
12
Still have questions or want to chat more about the CHANGE YOUR LIFE MASTERMIND + RETREAT? Book a 1-1 call with me & let's talk about how this would serve you/your business.

https://app.acuityscheduling.com/schedule.php?owner=16481735&appointmentType=7849820
Should be Empty: