Inspire the World Member

Name *

Email Address *

Phone Number *

How did you hear about us? *

What are you most interested in ( you can choose more than one) *

I would like to become a Lifetime Member Subscribe

I would like to become a lifetime Member Subscriber with 1 half hour coaching or counseling session

I would like an interview about becoming a broadcaste

I would like an interview about becoming a channel owner

I am interested in becoming a sponsor or investor

Please refer at least 4 individuals who you believe would be interested in becoming subscribers and joining the "Inspire The World" TV campaign movement. By doing so, you will be eligible to receive a roundtrip airfare for two with hotel stay certificate, valued at around $500-$600. The only requirement is that the referrals consist of valid phone numbers belonging to real individuals - they don't have to actually sign up for me to qualify for the travel certificate. You agree and understand that you will be responsible for taxes and fees when redeeming your travel certificate, and you can book my travel anytime within the next year.

Please list referrals below *

You agree that all subscriber membership fees are non-refundable. *

Yes

Membership Offers *

Lifetime Subscriber - $25.00

Lifetime Subscriber with one coaching or counseling session- $95.00