Application

First Name

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Last Name

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Address

Address Including City, State & Zip Code

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Preferred Contact Phone

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Email

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What do you love, what you do, what you want to transform, and what inspires you.

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Why would you be a great addition to the community?

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Please let us know what area of Transformation most interests you?

Health
Wealth
Business
All Three

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Please let us know the area of your life you are most excited about?

Health
Wealth
Business
None

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Please let us know what area of your life you would like to improve first?

Health
Wealth
Business
All

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Please provide more insight on this area.

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Please let us know of guidance you have received in areas.

Any programs or coaching in mindset, health, wealth, and/or business.

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What are your physical goals?

This is for health tools

Lose Weight
Gain Weight
Athlete Program
Other:

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What are your dietary preferences?

This is for the supplements you receive with Herbalife #1 Nutrition and Live Events

Vegan.
Allergy.
Other:

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Please confirm you will complete a minimum of two weeks content each month.

Note: We believe your life is important + prefer if you commit to four a month

Yes. I will complete a minimum of two lessons and aim for all four.

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Please confirm you will attend two live events in Atlanta

Note: No discounts for doing online only. Transportation + Stay are not included.

Yes. I will attend.
No. I prefer online only.

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Please let us know when you would be available for a 30 min - 1 Hour FREE call.

We require this as part of the enrollment process. List three times in next two weeks.

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Please let us know if you want to bring academies to your organization.

We provide discounts for multiple enrollment and academies.

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Are you interested in prepayment discounts or bonuses for referrals?

Yes. Prepayment.
Yes. Referrals.
Yes. Both.
No. Ill do payments.

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Please let us know if someone referred you.

We Provide Referral Incentives and/or Credit Towards an Academy.

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Upon selection, are you ready to complete first payment or payment in full after call.

Please note for any special promos application must be in before deadline.

Yes. Payment in Full. $330 Discount Applied. http://bit.ly/tranformationacademy3monthfull
Yes. First Payment of $1100, and Two Additional Payments Upon Acceptance. http://bit.ly/transformationacademythreemonthpayments
Other:

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Please let us know if you have additional questions?

List anything else that comes to mind so we may respond asap and/or cover on call!

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Signature

Type Name

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Todays Date