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Membership Type *	Dance - POWerful Words Gold Level Membership (1 Location Only) ($19.95 for the first month. Then $147.97 for each month) *`YES Dr.Robyn!`* `I am Ready To Take My Dance Studio To The Next Level and I Want Your Help!` The Most INCREDIBLE FREE Trial Package Ever From POWerful Words Character Development Over $1,000 Worth of “Pure” Studio Growing Information is Yours…..Absolutely FREE!! Here’s what you’ll get: 1 Month worth of the POWerful Words "Elite" Gold Level Membership - This is the INDUSTRY'S LEADING Character Development System designed by a PhD in Child Development that was also a very successful school owner! This includes the Current POWerful Word of the month so you can get going IMMEDIATELY! Value: $147.97 1 Past Month (last month's Package!) of the POWerful Words "Elite" Gold Level Membership so you see the consistent HIGH QUALITY of this program and it's ability to help you attract, enroll, develop and retain tomorrow's leaders today! Value: $147.97 Three CD set of Dr. Robyn Silverman's Audio Program entitled “Staff Training 101" Value:$199.99 The POWerful Instant Success Launch Kit - Value: $297 Access to our Monthly POWerful Words Step by Step Implementation Tele-Seminar. Value: $199.99 15 Minute one on one Jump Start Training Call with Executive Director Jason M. Silverman. Value: PRICELESS. A Full Color FRAMED and AUTOGRAPHED Picture of Dr. Robyn J.A. Silverman (your Child Development Specialist) for your staff wall Value: PRICELESS A Full Color 2'x6' Personalized POWerful Words Banner - (after your first month of membership) Value:$139.97 POWerful Words “Success Tips" e-mail series. Value: PRICELESS. The Ability to Grow Your Studio Like Never Before so You Can Live The Life You Deserve to Live! Value: PRICELESS. Invest $19.95 Now!(to cover shipping & handling) Cancel Before the 2nd Month Begins….pay nothing else and keep all BONUS GIFTS! After your initial FREE TRIAL MONTH (30 days), your membership will automatically be converted into our Monthly Gold Level Membership for Single Location School Owners and be charged a monthly subscription rate of only $147.97 - In order to cancel your account simply fax a request to 877-769-3799. If you own more than 1 location, you'll need to order the correct highly discounted multiple locations package As a courtesy to our loyal clients (and because we know you'll really NEVER WANT TO), This Membership may be canceled at any time, for any reason with a 30 day notice. As always, POWerful Words GUARANTEES Your Satisfaction - with a FULL 30 DAY MONEY BACK GUARANTEE!
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Academy Name Name of Your Academy, Studio, or Gym
Style or Discipline Taught * What style or system(s) do you offer at your academy?
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Fax # Fax Number - Please remember to add area code / country code
# of Students * How many students do you currently have training at your academy?
# of Locations You Own * # of different locations you own & plan to use the POWerful Words Program at?
Referred By: * How did you learn about the POWerful Word Character Development System?
Birthday Please enter your birthday so we can send you a card!
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