Speaker Information - Application to JOIN Evette Rose SUMMITS
I am excited for this collaboration! My team is going to review your application and we will contact you and connect with you for further details. Please make sure to complete the form and provide all the information that we need.

DATA PRIVACY NOTICE:

Metaphysical Anatomy strives to ensure the protection of your personal information through responsible practices.

All the data you will be encoding to this form will be solely used to help onboard you to our Summits and send you updates.

Upon accomplishing this form, you are giving your consent to the use of this information for the purpose stated above.

Thank you!
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Email *
Which Summit (s) are you interested to be part of? *
Required
Full Name *
What is your business / brand? *
What is your message to the world? *
What are your values in life? *
Website URL *
Link to your Facebook Account or Page *
Link to your Instagram Account *
Link to your LinkedIn Account (Optional)
Where are you based? (Location and Time Zone) *
Your Phone Number (Required) *
Preferable times to be reached by our team with a 15 minute phone call. *
Can you also please nominate another amazing speaker and their website for this summit?
A copy of your responses will be emailed to the address you provided.
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