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Private Training Application
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Email
*
Your email
Full Name
(First Name & Last Name)
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Your answer
What is the URL of your business' website?
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Your answer
What is the URL of your Instagram Handle OR personal Facebook Profile?
(
Tell us whichever you use more, so that Nancy can add you as a friend!)
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Your answer
What is your phone number?
(Please include your country code and enter in the following format 5555555555)
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Your answer
Do you consent to receive text messages from Nancy Florence?
(Text messages are used for application updates and important program reminders. By checking the yes below on this form, you agree to receive up to 5 auto-dialed marketing text messages per week delivered to the phone number provided at opt-in. Text HELP for info. Text STOP to cancel. Consent not required to purchase goods or services. Message and data rates may apply. Terms of Use & Privacy Policy)
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Yes
No
Describe your current business situation.
(How many clients are you currently working with? What is your monthly revenue? What challenges are you facing right now?)
*
Your answer
Describe your business goals for the next 12 months.
(You can include metrics like the number of clients you'd like to enroll and your ideal monthly revenue.
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Your answer
How did you hear about us?
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Your answer
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