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Thank you for your interest in Dr. Pillai's Mystery School Executive Program. This program is for high achievers who are motivated to make big changes in their lives and help others do the same. Please answer the following application questions. Dr. Pillai will personally review your answers and you will be notified whether you have been accepted into the program.

The energy exchange for the 12-month program is a $20,000 one time fee or 12 monthly payments of $2000. Please only apply if this energy exchange fits your budget.

We wish you all the best!
The Pillai Center Team

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* 1. Please enter your full name.

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* 2. Where do you currently reside? (City, State, Country)

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* 3. Please share why you wish to join this program.

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* 4. What is your current career?

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* 5. What are your aspirations in the following areas of life:

Financial

Spiritual

Relationship

Health

Other

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* 6. What is your annual income?

under $100,000

$101,000 - $150,000

$151,000 - $250,000

$251,000 - $450,000

$451,000 - $650,000

$651, 000 - $850,000

$851,000 - $1,000,000

above $1,000,000

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* 7. What questions do you have about this program?

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* 8. What is your birth location (City and Country)?

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* 9. What is your birth time?

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* 10. What is your date of birth?

Please select a date

Date

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* 11. Please provide your email address so we can communicate with you about next steps.

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* 12. Please provide your phone number.

If you have any questions or would like to speak with someone about this program, please contact us at pillaidiamonds@pillaicenter.com.