Application
* Required
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Address Including City, State & Zip Code
Your answer
Preferred Contact Phone
*
Your answer
Email
*
Your answer
What do you love, what you do, what you want to transform, and what inspires you.
*
Your answer
Why would you be a great addition to the community?
*
Your answer
Please let us know what area of Transformation most interests you?
*
Health
Wealth
Business
All Three
Required
Please let us know the area of your life you are most excited about?
*
Health
Wealth
Business
None
Required
Please let us know what area of your life you would like to improve first?
*
Health
Wealth
Business
All
Required
Please provide more insight on this area.
*
Your answer
Please let us know of guidance you have received in areas.
*
Any programs or coaching in mindset, health, wealth, and/or business.
Your answer
What are your physical goals?
*
This is for health tools
Lose Weight
Gain Weight
Athlete Program
Other:
Required
What are your dietary preferences?
*
This is for the supplements you receive with Herbalife #1 Nutrition and Live Events
Vegan.
Allergy.
Other:
Required
What are your favorite shake flavors?
*
For Monthly Transformation Pack
Chocolate
Vanilla
Banana Caramel
Mint Chocolate
Pralines N Creme
Orange Cream
Pina Colada
Wild Berry
Vegan
Other:
Required
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.
Required
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.
Required
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.
Your answer
Please let us know if you want to bring academies to your organization.
*
We provide discounts for multiple enrollment and academies.
Your answer
Are you interested in prepayment discounts or bonuses for referrals?
*
Yes. Prepayment.
Yes. Referrals.
Yes. Both.
No. Ill do payments.
Required
Please let us know if someone referred you.
*
We Provide Referral Incentives and/or Credit Towards an Academy.
Your answer
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:
Required
Please let us know if you have additional questions?
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List anything else that comes to mind so we may respond asap and/or cover on call!
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Signature
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Type Name
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Todays Date
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