1
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First + Last Name / Company Name
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Which type of training do you offer?
*
In person
Online / Virtual
Other
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Total # Active Clients? (Virtual + In Person)
*
0-10
11-20
21-30
31+
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What is your Hourly Rate Per Client?
*
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Tell us more about the services you offer
Who referred you? (If applicable)
PayPal Email Address:
*
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Social Media
Instagram Handle
Tik Tok Handle
YouTube Channel URL
Optional - Website URL or other social media
