New Customer Registration Form

1
What is your Name?* This field is required.how would you like to be addressed?
First Name
Last Name
2
What's your E-mail* This field is required.I will get in touch to organise our call via email
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
3
Please Give Us A Brief Description Of Your Business* This field is required.tell us a little bit about you
eg; im a salon owner, I'm new to beauty or team size
4
What is your Business Name? if you are a limited company, put your limited name here.
5
Which Of My Services Are You Interested In?* This field is required.
Please Select
Please Select
Borrow My Brain 1-Hour Call
1-1 High-Level Coaching for Scaling Business Owners
Beauty Success School - Online Course for Business starters
1-1 Strategy Call For Growth
6
Please Tell Me The Struggles Your Are Currently Facing * This field is required.Please Try To Be As Descriptive As You Can.
7
If you are interested in coaching, please tell me where you currently are in your business and the goals you're wanting to achieve, also why you're wanting coaching.* This field is required.if coaching isn't the service your enquiring about - please skip this question
8
Lets talk budgets, what is your current budget for Coaching/Services?* This field is required.this helps me find what will suit you best & make sure you get the best out of it.
£75-150
£200 - £500
£700+
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