Consultant License Selection Form - Winslow Solutions

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Knowledge
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Take Action

Home
Colleagues
Profiles
The 4 Institutes
Knowledge
About Us
Log In
Log Out

Menu

Home
Colleagues
Profiles
The 4 Institutes
Knowledge
About Us
Log In
Log Out

Take Action

Take Action

BIOGRAPHICAL WORKSHEET

For new Winslow Consultants

*The information below will be used to establish your new Winslow Consultant account.

Name(Required)

First Last

Company Name(Required)

Company Name

Date(Required)

Month

Day

Year

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Mobile Phone(Required)

✓ Valid number ✕ Invalid number

Office Phone(Required)

✓ Valid number ✕ Invalid number

Email(Required)

MARKETING AND EMAIL:

I would like an affiliate marketing site at www.winslowsolutions.com ( Learn more about affiliate marketing sites)

Affiliate Site

Yes

I would like to obtain a @winslowsolutions.com email account (free of charge)

Winslow Email

Yes

What email address would you like? (subject to approval)

If yes, review and sign the Terms and Conditions

ADDENDUM A- CONSULTANT LICENSE FEE:

License Purchase or Transfer?(Required)

Purchase

Transfer

License Purchase(Required)

Business Consultant - $3,500 License Fee incl. 5 profiles

Senior Consultant - $12,500 License Fee incl. 10 profiles

Executive Consultant - $35,000 License Fee incl. 20 profiles

License Transfer(Required)

Business Consultant - $1,500 Transfer Fee

Senior Consultant - $5,000 Transfer Fee

Executive Consultant - $14,000 Transfer Fee

For purchase of this license, we ask that you remit payment via wire transfer. Please disregard filling out this form, and contact us by emailing eric@winslowsolutions.com

ADDENDUM A- ENROLLMENT LEVEL FEE:

Enrollment Level(Required)

Basic (included)

Premium (paid)

Enrollment Fee(Required)

Premium (Monthly) $79.00

Premium (Annual) $799.00

Enrollment Fee(Required)

Premium (Monthly) $79.00

Premium (Annual) $799.00

Enrollment Fee(Required)

Premium (Monthly) $49.00

Premium (Annual) $499.00

Enrollment Fee(Required)

Premium (Monthly) $49.00

Premium (Annual) $499.00

Enrollment Fee(Required)

Premium (Monthly) $29.00

Premium (Annual) $299.00

Enrollment Fee(Required)

Premium (Monthly) $29.00

Premium (Annual) $299.00

ADDENDUM D- CUSTOM BRANDING OPTIONS:

Branding Options

None

Silver

Gold

Please email eric@winslowsolutions.com to discuss custom branding in further detail.

------------

Total

Pay with Credit Card(Required)

Yes

No

Credit Card Fee(Required)

Business License CC Fee - $105.00

Senior License CC Fee - $375.00

Executive License CC Fee - $1,050.00

Please email eric@winslowsolutions.com complete the payment process using another means.

TERMS AND CONDITIONS:

Consent(Required)

I understand I am remitting a one-time Consultant License (or transfer) fee, in addition to any recurring payment options I may have selected. I understand I may be required to attend retraining at the prevailing costs if I have not reached certain production levels by 24 months from today.(Required)

*When you click "Submit" below, you will be redirected to our payment processing system in order to complete your payment.

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