Mission Accomplished Enrollment

First Name

Last Name

Name:

First NameLast Name

Today's Date:

Date

Email Address:

Phone Number

Area CodePhone Number

Billing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Deposit authorized:

Mission Accomplished Flight$1,500.00

MA Flight Program Deposit

Mission Accomplished Premium$2,500.00

MA Premium Program Deposit

Total $0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Mission Accomplished™ Flight includes:

• Program membership from September 2026 through June 2027

• Three 55-minute group video coaching sessions per month

• One 30-minute private accountability call per month with a Mission Accomplished™ Coach

• All Attend LIVE spaces and events

• Daily coaching, accountability and support through the 24/7 dedicated Mission Accomplished platform online

• Downloadable recordings of all trainings and coaching calls

Mission Accomplished™ Premium includes:

• All Mission Accomplished™ Flight benefits

• One private 60-minute deep-dive call per month with Deborah

• Four bi-monthly Fire It Up Labs (90-min get-it-done workshops)

• Dedicated chat channel and private email support

Shipping Address (for welcome gift)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

I am enrolling in:

The deposit authorized above confirms my enrollment into the Mission Accomplished® Program.

If I select the Pay-in-Full (PIF) option, the PIF balance due on the Program selected above is due and payable within seven calendar days of submission of this enrollment form.

If I elect to pay in installments, the first monthly payment will be charged on July 1st, 2026.

For Remaining Payments:

Payment date for PIF balance due (within 7 days of enrollment date):

Date

When you hit Submit, you’ll be taken to the agreement page, where you’ll put a signature and date on the same Terms and Conditions you just checked above. Get ready to celebrate your first WIN!

Deposit authorized:*

Deposit authorized: