Name *

First Name

Last Name

Phone *

(###)

###

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As a LFTD member, are you willing to commit at least 2 hours per month to the LFTD social club + community ? *

Yes

No

As a LFTD member, are you willing to commit to our mission of growing individually and collectively as a community, and using our resources to invest into building communities around the world? *

Yes, I commit!

No.