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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Website (if applicable)

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* 5. Purpose of writing book?

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* 6. What has prevented you from writing your book?

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* 7. Why do you believe you will make a good fit for this program?

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* 8. Are you able to invest $600 for this program with EITHER a one-time payment or 3 monthly payments of $200?

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* 9. What is the best time to discuss?

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