Confirmation of Attendance/Recognition
Please fill out the details below. This information will be used to create the registration for the event and Dream Night. Please encourage your teams to fill this out. WE CANNOT recognize you if we don't have the information.
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Email *
Order Number/Ticket Number
Name of Attendee *
Attendee Email Address *
Attendee Phone Number *
Attendance *
Highest Reached Pin Title *
Ruby and above, are you celebrating a NEW pin title since last Success Summit? *
New Title (recognized on stage)
Attendee Team Elite/Blue Diamond Upline
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