Success with Stefan

Success With Stefan Application Form

* 1. Your First and Last Name

* 2. Your Email

* 3. Your Phone Number

* 4. Best Time to Reach You (Please Include Time Zone)

* 5. How much are you currently making each month online?

$0-$1000

$1000-$2500

$2500-$5000

$5000-$10,000

$10,000+

* 6. What is your desired monthly income?

$100-$500

$500-$2500

$2500-$5000

$5000-$10,000

$10,000+

* 7. How much are you willing to invest in your business and invaluable business education?

$2000-$3000

$3000-$5000

$5000-$7500

$7500+

* 8. Please check as many of the following that apply to you

I'm committed to being successful

I take action

I blame others when I don't succeed

I'll come up with every excuse in the book not to take action

* 9. What are your 3 month down the road goals?