Full Name

Business Name

Website URL

Instagram Handle

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Phone Number

Email Address

What do you do?

Please elaborate on your expertise if required above

In 100 words or less please tell us about what you want to offer at a Soul Star Event or how you wish to collaborate with us.

Please list qualifications any other applicable information and years of experience or speaking experience.

Please upload a photo of you (file types accepted jpg, png & gif, all images under 2MB)


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