REGISTER FOR MIND-SHIFT CONCLAVE

Name *

First

Last

Email *

Phone *

Occupation *

City of Residence *

What location are you registering for? *LeicesterManchesterBirminghamLondon

Kindly select the location you plan to attend so we can send you the appropriate address.

How did you hear about this event? *

What do you look forward to gaining from this meeting? *

Would you like to give a presentation in a future mind-shift conclave?I would love toI don't knowI don't mind

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.

Submit

By submitting this form, you acknowledge that you consent to the collection, processing, and storage of your personal data as contained in our privacy policy. We do nothing else with your data except contacting you for events or services you have contacted or engaged us for.