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Application for the Virtual Retreat Weekend
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* Indicates required question
Email
*
Your email
First and last name:
*
Your answer
Phone number OR Skype (if outside of the U.S.):
*
Your answer
Website
*
Your answer
This year's anticipated income
*
$0-50,000
$50,000-100,000
$100,000-1,000,000
$1,000,000-10,000,000
$10,000,000+
Other:
Anticipated income for the next year (or your goal)
*
$0-100,000
$100,001-1,000,000
$1,000,001-10,000,000
$10,000,001-100,000,000
Over $100,000,000
Other:
What would it be worth to you to double or triple those numbers?
*
$0-2,500
$2,500-5,000
$5,000-10,000
$10,000-25,000
Over $25,000
Other:
What do you sell (Program/Product, Price Point)?
*
Your answer
How much have you spent on coaching and mentoring for yourself each year?
*
Your answer
Why do you want to attend the Virtual Retreat weekend?
*
Your answer
What do you want to accomplish?
*
Your answer
Why now?
*
Your answer
Anything else you'd like us to know?
Your answer
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