Mastermind September 2019 Application
RequiredRequired Question(s)
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:

Required 2.

Please describe your business 


1000 characters left.
Required 3.
How many hours a week do you invest in your business?  (on an average week)

50 characters left.
Required 4.

What is the URL for your website?


50 characters left.
What is the URL for your Facebook Page (if you have one)?


50 characters left.
Required 6.
Are you sending out a newsletter currently?  If so, how often?


50 characters left.
Required 7.


What is the size of your email list?

50 characters left.
Required 8.
What is your current monthly gross revenue from your business?


50 characters left.
Required 9.
What are the biggest challenges you are facing in your business?


1000 characters left.
Required 10.
What goal or goals do you want to accomplish during our 3 months together?


350 characters left.
Anything else you want Elyse to know?

350 characters left.
Required 12.
If accepted, which payment plan do you want?
$350 one time payment
$128 per month for 3 months