Full Name
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First Name
Last Name
E-mail
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I would like to remain ANONYMOUS ...
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Your answer does not affect your eligibility for the show.
Website URL
if applicable
FacebookProfile URL
What ONE problem would you like to solve now?
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My business (or my life) would be so much better if I could fix this one thing. What is it?
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Here are the things I've already tried to fix this situation:
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Other information you need to know about my life in order to make this personal and specific to me.
Is there anything else you'd like to share?
Rate your familiarity with the Train Your Brain teachings
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1
2
3
4
5
6
7
8
9
10
Not at All Familiar
Very Familiar
1 is Not at All Familiar, 10 is Very Familiar
Are you a member of the PME Club? (ALL PME Club Members will have their requests fulfilled)
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Yes, I am a member of the PME Club
No, I am not a member of the PME Club.
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