World Changing Women Membership Application Form
Email address *
Full Name *
Your answer
Phone Number *
Your answer
Business Name and Website URL *
Your answer
What stage of development is your business in? *
How can WCW membership most assist you in growing your business and your reach / influence (select all that apply)* *
Please tell us what you can contribute to other WCW members? (Choose all that apply)* *
What marketing or business development programs, classes or workshops have you taken? *
Your answer
What is the single biggest challenge you currently face in growing your business or level of influence? (The more specific and detailed you can be, the better.) *
Your answer
How committed are you to overcoming this (and other) challenges in your business over the next 12 months? *
How did you hear about Kim or the World Changing Women Membership? *
Your answer
Thank you so much for applying!
We will get back to you within 2 business days.
Thank you for being awesome!
xo - Kim
A copy of your responses will be emailed to the address you provided.
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