Apply for the Develop Your Marketing Message Class

Once I get your application, I'll get back to you promptly to let you know if you have been accepted.
Then, if and when you are accepted for the course, you will be asked to reserve your
space by paying the course fee. The material for the first session will be provided approximately
2 weeks before the course begins.

Contact Becky if you have any questions.

Name:

Email Address:

Phone Number:

Address:

City:

Zip Code:

How long have you practiced?

Do you have a specialty?

How do you market yourself today?

What are your goals for taking this
class?

What are your biggest difficulties
or fears about marketing your
practice?

Do you have any specific
questions you want answered?

What is the URL of your website,
if you have one?