Cell Phone *

Business Name *

Website

Business Social Media Handle

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

What Is The Main Problem You Need Help With In Your Business? *

Do you see yourself traveling to speak, teaching an online course, and/or publishing a book within the next year? *

yes

no

What does your life look like a year from now?

If we conclude that we are a good fit, and the mentorship program is exactly what you need, how soon are you looking to begin?? *

right away

within 30 days

I'm not looking for mentorship right now

If we conclude that you are committed to your success, and that my mentorship program is exactly what you need, are you prepared to make a financial investment of at least $997 to help you get booked and paid to speak. *

yes

no

it depends