Gateway Dreaming Practitioner License and Website listing agreement
I have read the entire Gateway Dreaming™ Practitioner licensing agreement and I agree to the conditions. I understand that any time I violate these conditions, I will not be represented on the Gateway Dreaming website. This agreement is a part of the Hay House materials and I have sent a hard copy signed to Denise Linn to be authorized. This form can be used to update your information in our database or to request being added to the Gateway Dreaming Website
* Required
Email address
*
Your email
Please enter your email address again (thank you)
*
Your answer
Legal Name as it appears on your license agreement
*
Your answer
Street Address
Your answer
City/State/Zip Address
*
Your answer
Country
*
Your answer
Date
MM
/
DD
/
YYYY
I wish to be listed on the Gateway Dreaming Website for free
*
Yes
No
Required
The following information is what will be displayed online in the Practitioner listing
The information on this form will be used to them list my name and other information on the
wwwgatewaydreaming.com
website so that clients can find me and validate by certification as a practitioner.
If you do not want to be listed online, you may leave this next portion blank
Name ( or business name if preferred)
Your answer
Location
Your answer
Country
Your answer
One item of Contact info (email or phone or website)
Your answer
I am interested in becoming a Shining Star Practitioner for $120 a year
Yes - please contact me with details
No - not at this time
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