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Let’s start with the basics. Enter your details so we can connect.
What is your full name?
What is your best email address?
Where are you located (city and timezone)?
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Step 1.
Your Journey & Motivation
Briefly, what drew you to this Men's Circle?
5. In what ways are you seeking to grow (marriage, fatherhood, leadership, inner work)?
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Step 2.
Your Commitment
Are you prepared to invest financially in yourself at the level of $3,500-$4,050?
Yes
No
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Final Step.
Final Thoughts
Is there anything else you would like Moishe Dov to know about you?
How Would You Like to Pay?
Pay in full – $3,500
Payment plan – total $4,050 ($1,350 upfront + $675 a month (for 4 months)
Zelle Payment Details:
Send your payment via Zelle to:
coach@moishedov.com
Once you’ve sent the Zelle payment, click the button below to submit your application.
I’ve Sent My Zelle — Submit Application
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By submitting this form, you're taking the first step in your leadership journey.