In Person Registration Form -  January Jumpstart 2023 - Ignited
This registration form is for those attending IN PERSON only.  Registration is a 2-Step process:
Step 1:  Please fill out this Google Form.  
Step 2:  Go back to www.everhartnationalarea.com  to complete your payment via PayPal.  (Your Registration will not be complete until payment is made.  The deadline to register is Dec. 29th)

The cost to register is $45 per person by Dec. 21 and $50 per person by Dec. 29. Dec. 29 is the last day to register.

Also, we will be wearing the same t-shirts that we wore at Fall Advance 2022.  If you didn't get to order one then and want to order one now, you can do so in this form. T-shirts must be ordered by Dec. 21st and you will receive it at January Jumpstart).  T-shirt cost is $15 per person.

Email *
Your First  Name: *
Your Last Name: *
If you are a Consultant, please type the First and Last Name of your Sales Director.                                                                                
 If you are a Sales Director, please type in your FULL NAME below.(Please do not type "me").
*
Which National Area are you a part of? *
What is your cell number? *
Is your Spouse/Significant other attending: *
If your Spouse/Significant other is attending please type their name below:
Click this link so you can join the private FaceBook Group for this event: https://fb.me/g/p_K4ctCqCKYSwfGcFw/ND3OYfTX

A copy of your responses will be emailed to the address you provided.
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