Clutter-Free CEO Platinum application

1

First name* This field is required.

2

Email* This field is required.

example@example.com

3

How long have you been in business* This field is required.

4

In average how many customers do you serve per year* This field is required.

5

What is the average lifetime value of each customer* This field is required.

6

What is your annual gross income* This field is required.

7

What is your annual net income* This field is required.

Under $100,000

$101,000 to $250,000

$250,000 to $750,000

$750,000 to $1,000,000

8

How many more customers could you handle* This field is required.

9

What are your goals for your business/life for the next 12 months* This field is required.

11

What is the number 1 thing you'd like to focus on in Clutter-Free CEO Platinum* This field is required.

12

Why are you drawn to this program?* This field is required.

13

Can you easily pay $36,000 in full or 4 payments of $9850* This field is required.

YESNO

14

Anything else you want to add?