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Membership Application Form

Thank you for your interest in joining the Bliss Oriented Community! It is everything you think of in the word "community" and so much more, and I look forward to the opportunity to share it with you!


This application helps us both ensure that our journey together is aligned, powerful, and impactful. Please answer the questions below with honesty and heart. Your responses are confidential and treated with respect.

Personal Information

Birthday
Month
Day
Year
Waitlist if spots filled?

About You

Alignment & Energy

Are you ready and able to invest (time, energy, money) into your growth at this level?

Next Steps

Once your application is reviewed, you'll be contacted to schedule a connection call to see if we feel like a good fit. This is a no-pressure space to explore resonance, alignment, and the right opportunity for your evolution.


With love & gratitude,

Andrea

© 2025 by Bliss Oriented

A Life to Lead, LLC Company

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