Apply For Training With Patrick Taylor

Internet Success Training

Please answer the questions below to be considered for the program. If we feel you'd be a good fit and that we could be of assistance, we will follow up with a personal phone call. By filling out this application you give us permission to call you.

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* 1. Full Name

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* 2. Best Phone Number and Time To Contact You?

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* 3. What Is The Best E-mail Address To Contact You?

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* 4. In What City, State, Country Do You Reside?

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* 5. What Do You Currently Do For A Living?

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* 6. How Would You Describe Yourself As A Marketer?

Beginner

Intermediate

Advanced

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* 7. What Is the BIGGEST Obstacle or Challenge That Has Stopped You From Reaching Your Income Goals?

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* 8. What do you think are some of your greatest strengths? Why should we consider you over other applicants for training?

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* 9. How much start-up capital are you able to invest in working with Patrick Taylor?

I don't have any money so I can't work with Patrick

I have $500 to invest into my success

I have $1,000 to invest into my success

I have $2,000 to invest into my success

I have $5,000 to invest into my success

I have $10,000 to invest into my success

I have $25,000 to invest into my success

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* 10. If my application is accepted and I join your marketing group, I promise to act with integrity, fulfill my obligations, keep my word, and take full responsibility for my personal success and business.

Yes