Apply to be 1 of Only 9 Couples to Attend:

We look forward to speaking with you soon.

Please fill out the questionnaire below.

NOTE: All information will be kept strictly confidential.

First Name

Email *

Spouse's Name (First & Last)

Spouse's Email

Your Cell Phone:

Spouse's Cell Phone:

Please include both you and your spouse's social media handles/names:

Please share a little about you and your spouse's business:

What do you feel is holding you back (or needed/lacking) to achieve the level of success/lifestyle you desire?

What are you most hoping to get out of this mastermind?

Are you willing to give input to others during our time together as well as receive?

Yes

No

If you are selected, are you prepared to secure one of only nine private couple suites with an all-inclusive* $7,000 - $10,000 per couple investment? (*does not include cost of travel)

Absolutely!

Maybe

Anything you'd like to add?