Membership Application NAME * First Name Last Name EMAIL * PHONE # * Country (###) ### #### HOW DO YOU PREFER TO BE CONTACTED? EMAIL PHONE EITHER PRIMARY RESIDENCE * Address 1 Address 2 City State/Province Zip/Postal Code Country ABOUT YOU * Lastly, I would love to know a little bit more about you? Why is The Curated by Jamie Membership exciting for you? What areas do you need support with? REFERRAL This is optional, but if you referred by someone please drop their name below. Thank you so much for applying, we will be in touch soon with next steps. RETURN HOME