MIND-SHIFT CONCLAVE WAITLIST

Name *

First

Last

Email *

Phone *

Occupation *

City of Residence *BirminghamLondonKentOthers

If you pick others, would you like to propose a city you would like the mind-shift conclave to be brought to?

What MS.C. location do you plan to attend?BirminghamLondon

What do you hope to benefit from attending this event?

How did you hear about this event?

Propose a City you would like the Mind-Shift Conclave to come to.

If you picked "Others" as City of Residence.

Would you like to make a presentation at a future Mindshift Conclave.

• Yes
• Maybe
• No

Are you a founder, thought leader, or industry expert with invaluable ideas you believe would inspire growth and progress in people. This is an opportunity to inspire and impact others with your wisdom and expertise - for their growth, success, and wellness.

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