Own & Write Your Story Retreat May 2021
Thank you for your interest in attending Empowered Publishing's Retreat. To make sure that this retreat is the right next step for you and aligned please fill out the form below.
Name
*
First Name
Last Name
Business Name (If you have one)
Phone Number
*
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How ready are you to write your book?
*
1
2
3
4
5
Not Read
Ready
1 is Not Read, 5 is Ready
How did you find out about this retreat?
*
Why do you want to come to this retreat?
*
What outcomes would you want?
*
What type of book are you thinking of writing?
*
Do you have any questions?
Thank you!
I am looking forward to connecting with your further and supporting you on your Author's Journey. Much love, Tammie Pike
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