Den Circle Membership Registration Form

Den Circle Membership Registration

Complete the form below to sign up for my monthly membership service. Benefits include: Monthly virtual gathering, early bird discount on retreats, 20% off regular priced virtual offerings, member portal with recordings and exclusive content.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
Where did you hear about us?

A FriendGoogle/websiteBlog PostPodcastOther
Preferred way to contact

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Membership Rules
1. Membership is available to anyone 18 years of age or older.

2. You promise NOT to conduct any fraudulent or business activity or have more than one Member Account at any time.

3. Please conduct yourself in a respectful manner to all members during either virtual or in-person events. Any instance of perceived bullying, aggression or trolling may cause excusal from membership or event without refund.
I have read, understood, and accepted the rules for membership.
Privacy Policy
I will not sell or use your private information for anything other than the purposes of communicating member monthly events, offers, and information. Please check below if you accept the policy.
I have read, understood, and accepted the PRIVACY POLICY for membership.
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
My Subscriptions
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Recurring Monthly Membership
Membership subscription is charged every month on this date. Benefits include: Monthly virtual gathering, early bird discount on retreats, 20% off regular priced virtual offerings, member portal with recordings and exclusive content.

$22.00 for each month
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Den Circle Membership Registration

Membership Rules

Privacy Policy