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Full Name
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Email Address
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City & State
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What is the name of your business? Website?
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What industry are you in?
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What are your 2019-2020 goals?
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What are you struggling with right now?
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What do you hope to accomplish during this 8 week Group Coaching Program?
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Why do you feel you would be a good member of this program?
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Are you ready to make a $750/month investment in your business to leverage the power of group coaching for your business? *
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Anything else we should know about you while considering you for this program?
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