Apply for a Seat Inside LEAD 100 BOARD

Complete the application below as thoroughly as possible. If upon reviewing the application the information is insuficiente your next steps call will be rejected.

Full Name *

Date of birth (mm/dd/yyyy) *

Address

Street Address

City

State

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Postal code

Phone *

Email *

Occupation Information *

What is your target annual income? *

What is your current income?

What's the biggest obstacle keeping you from your goal? *

What problems are you facing when it comes to presenting & selling from stage? If not currently selling from stages type "not yet presenting" *

Website URL *

Instagram Handle

Email List Count *

Your Youtube URL

How willing and able are you to invest in the growth of your business right now? *

If accepted, what do you believe you will accomplish due to your participation in the program? *

If accepted, how soon are you looking to get started? *

Where did you hear about us? *

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