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90 Day One-on-One Application
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* Indicates required question
Email
*
Your email
Full Name
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Your answer
Business Name
*
Your answer
Address
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Your answer
Phone Number
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Your answer
Website
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Your answer
Social Channels
*
Your answer
Do you have an email list?
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Yes
No
If yes, what is the list size
Your answer
What products or services do you offer?
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Your answer
What type of business do you run?
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Your answer
What would be a great outcome or goal for our 90 days together
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Your answer
If you achieved this how would life be different?
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Your answer
What areas do you feel stuck or challenged in right now?
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Your answer
Why is having a breakthrough important for you right now?
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Your answer
If you are accepted into the 90 Day Accelerator, are you ready to make the investment of $3000? (payment option available)
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Yes! I'm ready to invest in myself and my business
No, I will not be able to invest at this time.
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