YOURS Form | Amazel Enterprise

Y.O.U.R.S.

Your Own Unique Real Self

In order to take full advantage of your time and provide you with the best information available for your group session, please provide the following information. This information will not be shared with anyone and is completely confidential.

Your Email *

Full Name *

Phone Number *

Date of Birth

Place of Work *

Position

Mailing Address *

Marital Status *

Single

Married

Divorced

Widowed

Do you have any children? *

Yes

If Yes, how many?

Submit

Engel Jones, Podcaster

Engel is the Founder and chief visionary. He is always working on another big hairy audacious goal. He loves sharing unique narratives and fostering unlimited networks.

Amanda Jones, Poet

Amanda is the quiet warrior. Her support of Engel's vision has influenced how she pursues goals. She is an established nurse who made a career change to an entrepreneurial adventure.