Registration for Glowing Goddess/Orgasmik Intelligence Playshop
Thank you for your interest in Orgasmik Intelligence (IO) and the Glowing Goddess Playshop. Please complete the form by filling in the required information. Your registration is complete with payment only.
Playshop Date for which you're registering *
The "Other" Option is for requests for customized playshops only
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Full Name *
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Telephone Number *
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Mobile Number *
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Email Address *
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Please state your parish/state and country *
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Age Group *
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What is your income group? *
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What is your highest level of education? *
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Occupation *
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Will you need to purchase a yoni egg? *
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Do you use the Inter Uterine Device (IUD) for contraception? *
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Have you been diagnosed with any of the following? *
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Have you had a hysterectomy? *
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How did you hear about the Glowing Goddess Playshop? *
What radio station do you listen to? *
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From which do you prefer to get your news? *
How would you prefer to learn about our products, services, educational/informational videos, specials, promotions, sensual tips etc? *
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