OPTIMIZE Application Form – Integrative Health Practitioner | Functional Medicine

OPTIMIZE and Rise Application Form

Welcome! I’m so excited you’re here and ready to apply for OPTIMIZE and Rise!

This is for the woman who knows what she wants and is ready to claim it all with her wellness and business. This application will help us gain crystal clarity if OPTIMIZE is the right fit for you.

I’d love you to fill this application form out from your heart and soul – let me feel your true desires, vision and goals. I can’t wait to hear from you.

Here’s to your next level… in health and business!

First and Last Name *

Email *

Mailing Address *

What’s inspired you most to apply for OPTIMIZE and Rise? Where are you currently at when it comes to your health and business? *

What are you deeply ready to move towards, claim fully and arrive into when it comes to your HEALTH? *

What are you deeply ready to move towards, claim fully and arrive into when it comes to your BUSINESS? *

Why are you ready and excited to join a OPTIMIZE and Rise and enter close proximity mentorship with Bindi? Why is now the time for you to be in a space like this? *

Drop into your body, tap into your highest vision and share your biggest desires with me for the next 4 months! What would true wellness and optimal health look and feel like to you? How would that support your business? *

Which investment option suits you best? *

🌸 Signature Level - Pay in Full - $3000 USD
🌸 Signature Level - 4 monthly payments of $800 USD
💎 Deluxe Level - (Done For You Wellness Concierge Services & Luxurious Gifts) Pay in Full - $6000 USD
💎 Deluxe Level - (Done For You Wellness Concierge Services & Luxurious Gifts) 4 monthly payments of $1600 USD

Anything else you feel to share with me or want me to know before we begin?

OPTIMIZE and Rise Application Form

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