First Name

Last Name

Company/Organization/Brand Name

Phone *

Email *

What transition or season are you navigating right now? *

What feels heavy, unsustainable, or out of alignment in your current life/business? *

What drew you to The Sovereign CEO Collective? *

If we were to work together over the next 12 months, what would you love to be different in your life, business, and wealth? *

What kinds of support have you already tried? What did and didn’t work for you? *

Which tier are you most drawn to? *

Tier 1 - Awakening

Tier 2 - Alchemy

Tier 3 - Ascension

On a scale of 1–5, how ready do you feel to receive structured support right now?

1-3 - Exploring and Feeling Into It

3-5 - I Know I Need Support, I’m Just Clarifying Which Kind

5 - I'm Ready!

Revenue Range

Is there anything I should know about your current financial season or responsibilities that would help me support you with care?

How did you hear about The Sovereign CEO Collective?

I understand this is an intimate, curated space and submitting this application does not obligate me to join. *

Yes

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By checking this box, I consent to receive marketing and promotional messages from Patrina Wisdom and Pure Abundance Inc., including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.