Amazing Relationships Presenter Form First Name * Last Name * Email * Paypal Email Your PayPal address where we will send your affiliate commissions (if you opt to participate in Misa's affiliate program) Phone * Website/URL Title of Your Talk * Outcomes/benefits-oriented title Interview Questions and/or Bullet Points (3-4) * Name of Free Gift Free Gift Description Short Free Gift URL List Size * Bio (50-100 words) * Headshot Photo (JPEG or PNG) Drop a file here or click to upload Choose File Maximum file size: 5MB If you have difficulty uploading your photo, email it (clearly identified) to ad***@****************on.com. Date for your 1st promotional email (solo email to entire list) The promotional period is January 28 through February 11. The actual summit is February 12 through 16. (Closer to launch is preferred.) Date for your 2nd promotional email (solo or newsletter) The promotional period is January 28 through February 11. The actual summit is February 12 through 16. (Closer to launch is preferred.) Optional: I wish to participate in the affiliate sales program for Misa's product(s) being sold through the Event.. Yes Submit