2021 Elevate Business Retreat Application

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* 1. Your contact details

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please describe your business - what you sell and who you serve

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* 3. How long have you been running your business for?

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* 4. Are you full time in your business or working for someone else too? Please describe your current set up

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* 5. What was your approximate revenue from your business in the last 12 months?

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* 6. Is there anything else you would like to add about your revenue?

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* 7. Why would you like to attend the retreat?

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* 8. Describe what you would like to get out of attending the retreat?

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* 9. Would you prefer

Single Room and Ensuite - pay in full for $2497

Single Room and Ensuite - 3 monthly payments of $832

Twin Room and Shared Bathroom - pay in full for $1,997

Twin Room and Shared Bathroom - 3 monthly payments of $666

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* 10. Have you read and do you accept the Terms of the Event (Elevate The Business Retreat) here: https://emilyosmond.com/event-terms

YES I have read and I accept the Terms of the Event

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* 11. Do you acknowledge that:
- If you are offered a place at the Retreat, you have 24 hours to confirm you place by paying for your ticket in full or commencing a payment plan option
- If you do not confirm your ticket within 24 hours, your place will be offered to the next suitable applicant.

YES I understand the application process

2021 Elevate Business Retreat Application

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* 1. Your contact details

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* 2. Please describe your business - what you sell and who you serve

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* 3. How long have you been running your business for?

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* 4. Are you full time in your business or working for someone else too? Please describe your current set up

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* 5. What was your approximate revenue from your business in the last 12 months?

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* 6. Is there anything else you would like to add about your revenue?

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* 7. Why would you like to attend the retreat?

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* 8. Describe what you would like to get out of attending the retreat?

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* 9. Would you prefer

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* 10. Have you read and do you accept the Terms of the Event (Elevate The Business Retreat) here: https://emilyosmond.com/event-terms

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* 11. Do you acknowledge that:- If you are offered a place at the Retreat, you have 24 hours to confirm you place by paying for your ticket in full or commencing a payment plan option- If you do not confirm your ticket within 24 hours, your place will be offered to the next suitable applicant.

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* 12. Finally, do you have any questions about attending the retreat?

* 11. Do you acknowledge that:
- If you are offered a place at the Retreat, you have 24 hours to confirm you place by paying for your ticket in full or commencing a payment plan option
- If you do not confirm your ticket within 24 hours, your place will be offered to the next suitable applicant.