Power Partner Application

Name of Company *

Contact Name *

Contact Name

First Name

Last Name

Title *

Email Address *

Website *

http://

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

Skype ID *

Are you authorized to make decisions?* *

Yes, I am the sole decision maker for the company.

Yes, however, I must consult my business partners.

No, I am not authorized to make decisions for the company listed.

How many clients can you handle per month per area of interest? *

As a Power Partner, you are welcome to attend Elevation retreats in Henderson, NV (March 2017) and Paris, France (May 2017). Would you like to be invited to attend either event? *

Note: Power Partners are responsible for their airfare to either location. Cost of accommodations can either be paid by the Power Partner or deducted from owed fees. Power Partners attending retreats understand that they are responsible for ALL fees for their personal guests and accommodations are based on double occupancy.

Yes

Please submit your formal proposal to hello@kimmccarter.com. *

Note: Power Partners will be included in the promotion for my new project being released for enrollment in November 2016. Proposals must be submitted no later than 9/30/16.

I am aware I must submit a formal proposal no later than 9/30/16.

I have already submitted my proposal for your review.

The Power Partner program is an independent contractor position. *

Please select one option from the below choices.

I would prefer to be paid based on the proposal I submit.

I would prefer to receive hybrid payment. I realized that as an affiliate I receive a 10% commission and it will offset my proposed rate.

Power Partner Application

Power Partner Application

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