Positive Intelligence Registration
Thank you for your interest in a Positive Intelligence group! Please complete the following information and we'll get you set up. Registrations are $995 per person, which gives you access to the 7-week PQ intensive and one year of access to the PQ app. If you have questions, reach out to us at info@exceptionalleaders.com.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Company
Title/Role
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Party Responsible for Billing
My company
Myself
Other
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If Company: Billing Contact Name
If Company: Billing Contact Email
example@example.com
Other Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If Other: Billing Contact Name
If Other: Billing Contact Email
example@example.com
If there are other people who would like to engage in the PQ group with you, please list them along with their email addresses.
Submit
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