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Mentorship Application Form
Please Complete This Short Mentorship Application Form
Name:
Email Address:
Phone Number:
Where are you from?:

What education programs/masterminds/coaching programs/ have you participated in?
Purpose: what do you want to accomplish?
Best result: if you do take action, what is the best result?
Worst result: if you do not take action, what is the worst result?
"I Have Gone From No Job... To My Dream Job! I Make More Money Now Than I Ever Have. Thank You!"  
Roland Geble - Marketing Consultant - Munich, Germany       

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