Direct Selling Women's Alliance

ELITE Leadership Certification Course Registration Form

MEMBERS! CLICK HERE to login first so you'll receive the
discounted Member registration fee.

First Name

Last Name

Address

City

State / Province

Zip / Postal Code

Country

Phone Number

Company Name

Leadership Title

Referred By

Password

* Your email address and password will be used to access course materials. Please make a note of it.

Click on the area from the list below you feel is one of your strengths as a leader.

Strategic planning for your business

Duplication of proven systems for growth

Creating a sense of community among your team

Coaching your team to success (Using Principle-Centered Coaching™)

Business Management and Finances

Conducting trainings and events

Which bests describes you?

I am an independent distributor with my own direct selling business.

I am a company owner or executive with a direct selling company.

Is there anything else we should know about your experience as a leader that would help us to support you throughout the Certification Course?

Payment Options (Pay in full and save 10%.)

One Payment of $587

Six Payments of $109 over 6 months

P ayment Method:

Payment By Credit/Debit Card

Credit Card Type
Name on Card
Credit/Debit Card Number
Expiration Date	Mo.	Yr.
Billing Address:
City
State/Province
Zip/Postal code
Country

Payment By Check

DSWA's Satisfaction Guarantee…
Within 30 days of registration – Full refund less $97 Materials/Processing Fee
30 – 60 days of registration - 50% refund
60 – 90 days of registration - 25% refund
* Payment Plan participants will not be charged for the remaining months after the cancellation.

If you encounter a problem while registering, please call 888-417-0743 Ext. 105