Guerrilla Marketing for Writers Mastermind Application
Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
PayPal Email
Can you commit to participating in 75% of our Wednesday 4-5:30 PM Eastern calls and the one in-person 2-day event each year?
*
Yes
No
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Family Information
Spouse Name
Children's Names/Ages
Anniversary
-
Month
-
Day
Year
Date
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Professional Information
Company Name
Industry
Company Website
Job Title
Number of Years in Current Position
Annual Sales
< $1M
$1-3M
$3-10M
> $10M
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Professional Information con't
Books You've Authored
Brief Personal Mission Statement
Net Worth
< $500,000
$500,000-1M
$1M-3M
$3M-5M
$5M-10M
> $10M
Hobbies
If I had extra time I would...
If I woke up tomorrow with no limitations, I would...
What is your biggest challenge?
What are your one-year goals?
What goals have you yet to achieve?
Is there anything else you'd like us to know?
What can others in this Mastermind best help you within the next 90 days?
What can you do in this Mastermind to best help others within the next 90 days?
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Last Questions
Reading Preference
Physical Book
eBook
Audio Book
From whom or how did you hear about this Mastermind?
Facebook URL
Twitter Username
LinkedIn URL
Instagram URL
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The Guerrilla Marketing for Writers Mastermind Promise Declaration
• Significant Life/Professional Growth and Transformation as a Result of the Mastermind Experience • Your Very Own “Board of Directors” at Your Disposal through the Active Input, Coaching, and Accountability of Your Mastermind Tribe • Provided Tactics for Growth, Implementation, and Support • Live Events to Facilitate Connection And Collaboration
The Guerrilla Marketing for Writers Member Promise Declaration
Please select each to indicate that you agree and understand.
Six Month Initial Commitment to Allow the Mastermind Program to Work in Your Life
Active Participation Via:- Biweekly Mastermind Group Calls- Minimum of One Annual 2-Day Retreat- Dedicating Yourself to Give to Your Mastermind Group
Commitment to Grow and Be Supported if You are in a Ditch
Commitment to Be Transparent, Authentic, and Giving in Your Interactions with Other Members
Willingness to Reject Pride, Fear, And Doubt from Allowing You to be Significant.
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