Application for Darren Hardy's HIGH-PERFORMANCE FORUM

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Fill out the few fields below to be considered for membership into the exclusive HIGH-PERFORMANCE FORUM, a mentorship and collaborative masterminding experience for CEOs and business owners led by SUCCESS Publisher and CEO Mentor Darren Hardy.

First Name: *

Last Name: *

Email: *

Mobile phone:

optional

LinkedIn URL:

I am the Owner and/or C-level leader of the company: *

Yes

Over the next 12 months the forecasted revenue goal for my business is: *

$5,000,000+

$1,000,000 - 4,999,999

$500,000 - $999,999

$250,000 - $499,999

Less than $250,000

Other:

Describe business (one sentence):

Business website URL:

The most important goal I have for my business over the next 12 months is: (one sentence) *

Main reason I would like to be a member of the HIGH-PERFORMANCE FORUM is: (one sentence):

Thank you for your interest. I can promise you, if accepted, this will be one of the most enriching experiences you have ever had in business… and in life. You have my commitment. -Darren Hardy

*To qualify for the FORUM you need to be the owner, CEO or business leader of a $1M+ company.

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