Application to Attend – Reality Cheque 3-Day Agency Retreat
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0300-0000000.
Current Monthly Revenue?
*
Under $2K
$2K – $10K
$10K – $25K
$25K+
What is the main service you provide?
*
What is the #1 thing holding your growth back right now? (Select multiple if applicable)
*
Inconsistent leads
Can't do sales
Can't hire or manage team
Dependancy on upwork/fiverr
No clear systems or process
Other
How many seats would you like to register?
*
1 (Just for myself)
2 (Bringing a partner/friend)
2+ (Have a group interested)
Accommodation Selection (3Nights - 4Days)
*
Double Occupancy – $200 Per Person
Triple Occupancy - $140 Per Person
I will arrange my own stay
Payment Confirmation Checkbox
*
I understand the retreat fee is $400 ($350 if I am in first 25 registrants)
I understand accommodation is charged separately
I understand this is a paid, implementation-focused retreat, not a seminar
I understand $50 deposit is non refundable if I am selected
Submit
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