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ManifestX Mastermind Membership Form
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First and Last Name
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Your answer
Why did you decide to connect with us now?
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Your answer
What have been your 3 proudest accomplishments and WHY??
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Your answer
Briefly describe your business, who do you serve, what do you sell, price point?
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Your answer
Current Business Website (If you don't have one please type "no site")
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Your answer
Current Monthly Revenue:
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Less than $3000 per month
$3,000 - $5,000 per month
$5,000 - $10,000 per month
$10,000 - $20,000 per month
$20,000 - $50,000 per month
$50,000 - $100,000 per month
$100,000 per month or more
What is your target monthly revenue?
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Your answer
What does your dream life & biz look like in 3 years from now? Be as specific as you can. Include numbers. Clarity creates reality. :)
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Your answer
What do you think is your biggest bottleneck or challenge in getting there? (internal and external)
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Your answer
How willing & able are you to invest in the growth of your business right now?
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Your answer
If we determine this is a good fit would you want to use third party funding? (we have funding sources available)
Yes
No
Maybe
Clear selection
If you're accepted into the Manifest X Mastermind how soon can you get started?
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Your answer
ManifestX Mastermind Membership is not Guaranteed. If we both decide it's aligned to move forward together out of 100+ of applications why should we choose you to be a part of it over the next applicant?
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Your answer
Are you willing to complete your PRE-Call masterclass to ensure you qualify to become a member?
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Yes
No
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