MOA_MembershipEnrollment - Powered by Keap

ENROLLMENT FORM

For new memberships and changes to existing memberships

items with * are required fields

About You

First Name *
Last Name *

Email *

Date of Birth *

Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country *

Phone 1 *

Do you already have an account on MomentsOfAwe.org? *

YesNo

If no: Please provide the full name and email address of two people in our community who know you well and can confirm your participation in our groups/intensives. These sponsors need to be one of the following: a) not Armand -- he’s very busy, b) the primary contact person for the events you attended, c) an active facilitator, d) a trainee in one of our facilitator training programs.

Have you participated in groups/intensives in Armand's community?

YesNo

If no: How did you hear about us?

If yes: What year did you attend your first group/intensive?

If yes: What is the date, city, state, and country of your 3 most recent group/intensive experiences?

If yes: Who is your primary facilitator?

Are you a facilitator/trainee in Armand's lineage?

YesNo

If yes: Are you currently in one of his facilitator/training programs?

YesNo

If yes: Who is your mentor or program director?

About Your Membership

Which memberships would you like on your account? (check all that apply)

Webinars (open to everyone) $50/mo

Zoom (open to everyone) $30-$45/mo

Community (open to group/intensive participants) $0/mo

Intro course self-guided (open to group/intensive participants) $45/mo

Intro course live (open to group/intensive participants) $400/mo - x6 or $2350

Methodology wiki (open to group/intensive participants) $15/mo

Facilitator (open to active facilitators and trainees) $50/mo

All access Everyone $65/mo

All access Community $110/mo

All access Facilitator $110/mo

Financial Aid

Do you need Financial Aid?

YesNo

If YES: For all memberships except the Live Intro Course:

What all-included monthly payment can you offer for the ongoing monthly services that you selected above?

If YES: For the Live Intro Course:

1. Do you need: a) an extended payment plan, with costs spread out longer than 6 months, OR b) financial aid, support in paying the course fees?

extended payment planfinancial aid

2. For a) extended payments: over how many months would you like to pay the course fee? OR for b) how much can you offer for the course?

Live Intro Course Applicants

Why are you interested in taking the live course?

Potential Schedule for next session:

Please answer in the following box all 1-9 times with:

- YES (definitely works for you)

- MAYBE (not your favorite but it's workable)

- NO (not possible for you).

(All Times are Pacific Time US)

1. Mondays 9am-10:30am

2. Mondays 1pm - 2:30pm

3. Mondays 5pm-6:30pm

4. Tuesdays 9am-10:30am

5. Tuesdays 1pm - 2:30pm

6. Tuesdays 5pm-6:30pm

7. Wednesdays 9am-10:30am

8. Wednesdays 1pm - 2:30pm

How do the above times work for you? If none, please suggest additional times (PT US)

The live course is an intimate setting. Is there anyone in the Imetics community that you would need to not share your group with? (All answers will be kept in confidence)

Any questions?

We're happy to help; please ask them here:

Thank you so much for being

part of our community.

We cannot do this without you!

An email confirmation should arrive momentarily; please check your spam folder.

If this confirmation does not arrive within 24 hours, please contact us (info@momentsofawe.org).