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1. Your Full Name:

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2. What is your address?

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3. What is the best phone number to connect with you?

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4. What is your website address? (if you have one)

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5. Tell me about you and why you want to apply for the 2026 Mastermind. Have you invested highly in yourself before?

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6. Describe your business or company for me:

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7. Briefly describe how you are currently building and marketing your business.

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8. Who or what do you think is your biggest obstacle in reaching your goals?*

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9. If you could wave a magic wand and change three things in your business or life in the next 12 months, what would they be?

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10. Understanding this is a rare experience with a chosen number of attendees, what else would you like to share with me prior to accepting applications? Why should I choose you?

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