Virtual Desire Map Workshop Registration
Welcome! Please complete this form so that I can get to know you and get the information I need to serve you best. This is for The Desire Map Workshop led by Chrissy Doolen www.fifthelementwellness.com. Once this is received, I will send you confirmation that your name has been received. Filling out this form does not fully commit you to the workshop- payment will.

Days and Times
Sundays at 4pmP/7pmE beginning 10/21

Costs
Virtual Group Workshop Registration: $175

Current Specials:
doTERRA downline Registrant: $60 off full-price registration always
doTERRA downline with current LRP: $90 off full-price registration
Moms on Fire Retreat Participants discount: $50 off Group work


Name *
Your answer
Email Address *
Used for correspondence and invoicing if you choose.
Your answer
Address
Your answer
Do you prefer to pay by PayPal or be invoiced? *
Do you use Facebook?
We use a private Facebook group between calls to communicate and inspire each other and for ongoing support.
What is your Facebook name?
Your answer
Do you have a Pinterest account?
We set up a Virtual Altar on the first day using a shared Pinterest board. If you don't have a Pinterest account, no problem, I will be in touch!
What email address do you use for Pinterest?
If different from the email already supplied.
Your answer
Have you read The Desire Map by Danielle LaPorte?
If yes, would you like to comment on your experience here?
Your answer
Do you currently use essential oils?
If no, may I send you samples of the 3 foundational oils I recommend for the workshop?
I will send you samples of doTERRA's lavender, frankincense, and Balance (grounding) blend.
Are you an entrepreneur or considering entrepreneurship?
What is your Timezone? *
Your answer
What days and times are you available for a weekly 90 minute call? *
Choose as many as you like. The first 6 paid participants will decide on the day/time based on availability! The earliest I am able to begin a call on weekday mornings is 9am Pacific.
Required
Are there any days you are not available in the range you chose above?
For instance, weekday mornings are good except Mondays..weekends are good except Sunday morning.
Your answer
If you are in my doTERRA downline, please provide your WA# for verification
Your answer
Is there anything you want to share or questions you have?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms