Inner Expansion Party Request Form

Are you a prophetic (inner knowings), clairvoyant (inner visions), clairaudient (inner thoughts and ideas) or healer (inner feelings)?

Have fun with a free presentation with all of your friends where they will learn what their first spiritual gift is and how to unfold it even more!

Experience the Personal Energy Cleansing technique, how to see, feel and read auras in 20 seconds...and how to lift a person up with two fingers...all in a single bound.

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* 1. Your personal contact information:

Name:

City/Town:

State/Province:

Country:

Email Address:

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* 2. I would like to host an Inner Expansion Party:

With a Skype Two-Way Video Conference

On a Web Meeting

On an Audio Tele-Conference

With a Live Instructor (if possible)

Other (please specify)

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* 3. What is the date and time you would like to schedule the party?

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* 4. I believe that I can inspire this many attendees:

1-10

10-20

20-30

30-40

40-50

More than 50

Other (please specify)

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* 5. I can be reached by telephone by calling (please include country code if outside the US):

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* 6. The best time to reach me (my local time) is:

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* 7. I would like to become an affiliate with Inner Expansion:

Yes

I already am an affiliate

Other (please specify)