Illumination Mastermind Application

Hello there, my friend...

I'm excited to read about what you are desiring and ready to step into with me and us for the next few months!

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* 1. What kind of change are you desiring to make?

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* 2. What are you doing that is not working for you?

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* 3. Are you ready to dive in and explore what's been holding you back?

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* 4. So, what are you desiring?

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* 5. Are you ready to commit to our creative gathering for the next 3 months? To show up and participate, do the work, share, and enjoy the process? If, so, why?

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* 6. Name, Email,

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number