MBA Registration of Interest Form
After you fill out this registration of interest, we will contact you to go over your details and discuss your suitability before taking the next step in potentially welcoming you as a new member of the MOMENTUM Business Amplifier family.
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Email *
What is the MOMENTUM Business Amplifier
The MOMENTUM Business Amplifier Group is a group of business owners, led by Aileen Day, CCXP who desire to create their own value driven brand and design their impact in the world. Together, they work, support and hold space for each other to ensure constant momentum and success for themselves and then amplifying that success out to those in their community. Access to the MBA is by application only and those willing and committed to change and gaining momentum in their business are always the best fit for our supportive community. The core format of the group is made up of weekly accountability activities derived from quarterly in-person meet ups to facilitate planning and goal structures as well as to mastermind each other's business challenges and opportunities. There are also additional weekly group coaching and monthly masterclasses, continuing to help grow, support and amplify momentum into your business and life.

Are you ready to invest in the value driven life you deserve? Then fill out the form below and let's get the train moving because this is the MBA you really need.

Your name (First and Last) *
Phone number *
Preferred contact method *
Required
Preferred contact time (this will be based on Melbourne time) *
Required
Are you a new or existing customer of Aileen Day?
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What is your business name?
What is your business website (if applicable)?
Do you have employees or sub-contractors? *
How did you come to learn about the MOMENTUM Business Accelerator group? *
What area/s of business would you most like to create change and gain momentum in? *
e.g. Self improvement, time management, customer experience management, employee management, marketing, public relations, social media skills/ management, operations, leadership skills, governance (policies & procedures)
Are you willing to be held to account for your goals and  attitudes in which you achieve them by Aileen and your MBA community? *
Required
What do you believe you can bring to the community of the MOMENTUM Business Amplifier? *
Membership Options *
Please choose the membership you are interested in:
Required
Do you have any questions/ comments that you would like Aileen to answer for you in regard to the MOMENTUM Business Amplifier?
A copy of your responses will be emailed to the address you provided.
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