Leadership Committee Application
Full Name *
Your answer
Preferred Email Address *
Your answer
Cell Phone Number (if in United States)
Your answer
Mailing Address *
Your answer
Your Country *
Your answer
Your Age
Your answer
How long have you participated in Julie Renee's Quantum Activation programs? *
Your answer
Date you began the Leadership Council (please list today's date) *
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Are you certified in Quantum Activation work? *
Are you willing to commit to at least 12 months where you'd be asked to do one clearing each month? *
Would you like 1 or 2 charts per month? *
Your Leadership Council Image
If you would like to share an image of yourself for the Leadership Council page please send your image to jr@julierenee.com.
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