SBA Mastermind Application Form:
IMPORTANT: I'd love to get to know you and your business a little better. Once I've received and reviewed this form, I'll be in touch with the next steps to become a member of the Savvy Business Masterminds. Please keep an eye out for an email from me. If you don't hear from me within 24 hours of completing this form, please email me at

And yes, we do place our members to be in groups with peers.

Email address *
Please Leave Your Name: *
What's your website: *
Where did you hear about The Savvy Business Masterminds? *
Tell me a little more about your business: What industry are you in, what do you do, are you a product/service-based company? *
How long have you been in business? *
What's your income: *
What's your biggest business challenge right now? *
What are your business goals? *
On a scale of 0 -10: How committed are you to achieve your goals and overcome your challenges right now? *
Not committed at all
Very committed
Why are you looking to join a mastermind? *
What are you hoping to achieve while being a member of the masterminds? *
What you'll get when you join this program: 1 x Monthly Calls Held at 12 -1:30pm EST on a specific Friday of the month; Maximum of 10 people per group; Access to the monthly book club call where you'll have the chance to meet mastermind members in other groups; A monthly worksheet to create more focus and clarity. Access to our Members-Only Facebook group; The option to book a private coaching session with Hanneke at an additional cost of $499 per session ; A $200 referral bonus when you refer other members and they sign up to join any one of my programs; Type I'm excited if you're loving all you're reading :) *
The cost of the masterminds is $249 per month and it's a 12 month commitment with the option to cancel after 4 months. Are you ready to invest this amount into your own personal developement and your business *
A copy of your responses will be emailed to the address you provided.
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