Live Your Legacy Life Summit Application
Dates of the live event - April 14-21 2024
This is NOT just another Summit. With an overarching theme where each day helps to build a Legacy Life - each day will contain 4 speakers - 1 Opening Training - 3 interview and 1 Power Presenter (this will be a 60 minute full presentation with close and affiliate share.) I'm SUPER Excited about this.
Full Name
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Email
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Cell Phone #
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Company Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
# years in business
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1-5 years
5-10 years
more than 10 years
Bio - up to 70 words
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Upload Headshot photo
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Browse Files
Cancel
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Master Website Link
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Interview Theme/Title
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Interview Questions you would like me to ask to help feature you
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What is your legacy life message or mission.
If applying to be a Power Speaker the next 3 fields are for you. Please note I can accept only 6 for this position. Make sure you include the above in case you aren't selected. 60 Minute LIVE Selling Slot.
The Power Speaker Slots are not pre-recorded.
Title of your talk
Description, bullet points of your talk, takeaways. Promo writeup.
Price point of your offer
Why pick you for this position.
Free Gift Link
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Free Gift Description and Value
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Date of First Email (Range: Apr 7-13-24)
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Month
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Day
Year
Date
Date of 2nd Email (Range: Apr 14-21-24)
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Month
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Day
Year
Date
Size of List for tracking purposes
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Linkedin (provide full link)
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Facebook (provide full link)
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Any other socials you use - you can put here.
I, the speaker give Tracy Repchuk permission for the right to use my name, voice, interview, speech, image or any part of the recording from the summit for any use both privately and publicly, including giveaway and sell.
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Yes
Other
I, the speaker understand that Tracy Repchuk will own rights to all parts of the summit with my recording and that I have the right to use my own recording for my own purposes.
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Yes
Other
I, the speaker understand that my affiliate tracking link will connect to my promotions and I will be compensated for any purchases of the VIP package upgrades.
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Yes - this is great!
Other
I, the speaker agree to provide a free download gift and upon explaining the gift and it's value will direct the listener to the master download location on the summit site.
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Yes
Other
I, the speaker understand this will be pre-recorded and then played live on the day to make my participation easier.
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Yes - love it!
Other
Anything else you would like to add.
Submit Application
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