Kingdom Shifters Wellness University-Scribe Coaching Registration Form
Please fill out the form carefully and as detailed as possible so that we can assist you by giving you the needed tools to activate and operate in your scribe anointing.
Student Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Age
Phone Number
-
Area Code
Phone Number
Student E-mail
example@example.com
What is your time zone?
Marital Status
Single
Married
Divorced
Widowed
Occupation
Employer
What scribe service are you desiring?
*
60 Minute Consultation($100)
Scribe Coaching ($750)
Emergency Contact: Please list name, phone, and address
What is your book about?
What is it you desire to achieve in writing your book?
What has God spoken to you regarding writing this book?
What challenges are you having with starting the book?
What challenges are you having with finishing the book?
What is the challenges are you having with writing your book altogether?
What are three areas you need to improve on to completing your book?
Do you have samples of your writing? If so please provide one here.
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Would you like Assistance with Self-Publishing your work?
SUBMIT
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