Circle Leader Registration Page

Please fill in the fields below. ( • = required field)

Circle Information:

Name of Circle Leader:	First Name: • Last Name: •
Address:	•
City:	•
State:
Zip:	•
Country:	•
Email:	•
Names of Circle Members:	•
Name of your Circle:	•
Name of SeedPlanter *:

* If you attended an introduction by a SeedPlanter, write the name of the SeedPlanter.

Payment Information:

Please click the popup list left column to indicate
the number of people in your circle: (•)

# of Members *	Year Cost/Per Week Cost	Total	Select
	$0 each/$0	$0

By registering your circle, you agree to be bound by the following stipulations:
The teaching DVD's are protected by copyright law and international copyright treaty.
You may not transfer, rent, lease, lend, coy, modify, translate, sublicense, resell for profit, time-share or electronically transmit this media.

• I agree to terms described above!