VIV ONE AT A TIME INTEREST FORM

Thank you for expressing interest in joining us!

Please complete the following if you're interested in joining one of our upcoming One At A Time experiences. If you have any questions, please call us at 1-833-VIV-LIFE between 10 a.m. - 4 p.m. ET or email support@justviv.com.

Once this form has been submitted, we will keep you informed of all details related to these future trips!

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* 1. Your name (Viv Life Consultant):

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* 2. Your Consultant ID number:

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* 3. Timing plays a critical factor in planning our trips. Please indicate below how flexible you are for travel during each of these months.

	Not flexible	Somewhat flexible	Very flexible
January	January Not flexible	January Somewhat flexible	January Very flexible
February	February Not flexible	February Somewhat flexible	February Very flexible
March	March Not flexible	March Somewhat flexible	March Very flexible
April	April Not flexible	April Somewhat flexible	April Very flexible
May	May Not flexible	May Somewhat flexible	May Very flexible
June	June Not flexible	June Somewhat flexible	June Very flexible
July	July Not flexible	July Somewhat flexible	July Very flexible
August	August Not flexible	August Somewhat flexible	August Very flexible
September	September Not flexible	September Somewhat flexible	September Very flexible
October	October Not flexible	October Somewhat flexible	October Very flexible
November	November Not flexible	November Somewhat flexible	November Very flexible
December	December Not flexible	December Somewhat flexible	December Very flexible

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* 4. How likely are you to join us on an upcoming One At A Time trip to Honduras?

This culturally immersive trip is an opportunity to learn about coffee production from rural farmers, participate in the growing and harvesting of coffee and will provide an opportunity to see a sustainable economic model for development through a thriving social enterprise in Honduras: Mission Lazarus. This trip offers shared accommodations at the coffee farm.

Not Likely (unless you earn the entire trip through Viv Rewards)

Likely (you will cover your expenses even if you only earn half the trip through Viv Rewards)

Very Likely (you will cover your expenses even if you don't have enough Viv Rewards)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. How likely are you to join us on an upcoming One At A Time trip to Dominican Republic in 2020?

This trip will follow our traditional "work hard, play hard" model with time working in collaboration with the community to expand a school in Santo Domingo before heading to relax and play at a beautiful all-inclusive resort in La Romana.

Not Likely (unless you earn the entire trip through Viv Rewards)

Likely (you will cover your expenses even if you only earn half the trip through Viv Rewards)

Very Likely (you will cover your expenses even if you don't have enough Viv Rewards)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. How likely are you to join us on an upcoming One At A Time trip to Guatemala with Long Way Home?

We are committed to returning to Guatemala for years to come as we support our friends in Guatemala! Since we launched in 2018, we’ve had two unforgettable, life-changing One At A Time experiences working with Long Way Home in the community of Xiquin Sanahi. Plus, no trip is complete without the memories of adventure and relaxing on beautiful Lake Atitlan!

Not Likely (unless you earn the entire trip through Viv Rewards)

Likely (you will cover your expenses even if you only earn half the trip through Viv Rewards)

Very Likely (you will cover your expenses even if you don't have enough Viv Rewards)

Clear

i We adjusted the number you entered based on the slider’s scale.