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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 a 2021 Retreat. Have you invested 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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