HerCircle 6-Week Circle Registration

HerCircle 6-Week Circle Registration

Let’s begin your journey of reflection, connection, and empowerment.

Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City, State
Instagram Handle

I understand this is a guided 6-week experience
Can you commit at least 1-2 hours per week?

PAYMENT TYPE

6-Week Program

One-time payment for full access to the HerCircle 6-Week Cohort Program. Includes weekly group sessions, workbook materials, guest experiences, and member bonuses.

$275.00 Quantity

1-part payment plan

First half of a 2-part payment plan. Remaining $140 due before Week 3. Includes full program access. (You’ll receive a payment reminder email.)

$140.00 Quantity

2-part payment plan

Second installment for participants who selected the 1-part payment plan. Please use the same name/email for tracking.

$140.00 Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Paragraph A (for full $275 Payment)
Paragraph B (for 1-Part Plan)
Paragraph C (for 1-Part Plan)
Should be Empty: