Membership Application Form

Business Mastermind Club - Member Application Form

Thank you for your interest in the Business Mastermind Club! This group is for driven entrepreneurs ready to grow, share insights, and support one another. Please take a few minutes to tell us about your business so we can ensure a great fit and create a high-value experience.
Name*

First NameLast Name
Address

Street Address

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Cellular Number
Work Number*
Name Of Your Business *
Your Industry*
Industry (If You Answered "Other")
Years In Business *
How Many Employees Do You Have?*

Just Myself1-55-5050-100100+
What Is Your Ballpark Revenue? *

Under $100K$100K - 200K$200K-500K$500K-$1M$1M - $5M$5M+
Why are you interested in joining a mastermind group?*
Please share what you hope to achieve by joining and what specific challenges you're facing. This helps tailor the group dynamic.
Masterminds require a commitment of one virtual meeting per month—are you willing to show up consistently and actively participate?*

YesNo
The standard membership for the Business Mastermind Club is $249/month, billed automatically on the day you register. Please confirm you're comfortable with this recurring monthly payment.*

YesNo
Which Day Of The Week Works Best To Attend A Mastermind Group?*
Is there anything else we should know about you before reviewing your application?
Date of Signature*

MonthDayYear
Date
Signature*

Clear
Have Questions? Schedule An Overview Call.

We will review your application and get back within 48 hours. In the meantime, let's set up an overview call to review the program and answer any questions. You can schedule and overview call here. https://calendly.com/alialden/business-mastermind-club-overview-call
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Business Mastermind Club - Member Application Form

Have Questions? Schedule An Overview Call.