ManifestX Mastermind Membership Form
Sign in to Google to save your progress. Learn more
First and Last Name *
Why did you decide to connect with us now? *
What have been your 3 proudest accomplishments and WHY?? *
Briefly describe your business, who do you serve, what do you sell, price point? *
Current Business Website (If you don't have one please type "no site") *
Current Monthly Revenue: *
What is your target monthly revenue? *
What does your dream life & biz look like in 3 years from now? Be as specific as you can. Include numbers. Clarity creates reality. :) *
What do you think is your biggest bottleneck or challenge in getting there? (internal and external) *
How willing & able are you to invest in the growth of your business right now? *
If we determine this is a good fit would you want to use third party funding? (we have funding sources available)
Clear selection
If you're accepted into the Manifest X Mastermind how soon can you get started? *
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? *
Are you willing to complete your PRE-Call masterclass to ensure you qualify to become a member? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy