Advanced Closed-Door Confidant Circle

Application of interest for the future
Advanced Closed-Door Confidant Circle Masterminding, Group Support, Brainstorming, Marketing Strategies, Connections & Contacts, PLUS Retreats!!

Available for only a handful of Individuals in 2010 or earlier!

YES! Stefanie, I would love to be one of the select lucky people chosen to become part of this truly magical group. I KNOW I will shine and I am ready to take charge of my destiny.

Please accept this application as my indication of serious interest, without a doubt I want to be part of this special group.
Thank you!

Instructions:

Please answer the questions below as honestly as you possibly can. This is not about winning or losing. We just want to get to know you and get a feeling of who you are, what you’re like and what you may be visualizing for yourself. There are no wrong answers.

Thank you!

First Name:

Last Name:

Contact Email:

Phone:

Phone Ext:

Time Zone:

Company Name:

Website:

1. Please describe your current business or the business you’d like to start:

2. What products or services do you currently sell or would like too?

3. What are your top 3 goals? What would you like to see happen for you in the next year?

4. What do you feel are some of your biggest challenges?

5. What situation best describes your last year:

6. Why do you want to be part of this exclusive group? What got you excited or interested?

7. What is something you do for fun? Or What makes you laugh?

8. Are there any dates that you will not be home or available in December 2009 in case we need to contact you?

9. What is the best time/dates and phone number to reach you during this busy season?

10. Once accepted, what Circle Level would you prefer?

		Gold Level
		Platinum Level

Any additional comments:

We expect to select the applicants and have the final few individuals registered into the circle prior to December 31st, 2009.

Once chosen and registered, we will contact the group and create a team call where we can pick the best dates/time to meet throughout the year.

THANK YOU!!!!

Are you ready to be a GIANT next year?

Let’s get it done! Let’s do it together!

Warmest Regards,

P.S. Here’s the “Letterman Story”
I promised you: Dave Letterman link

Stefanie Hartman
www.HartOfSuccess.com
www.PrivateJVClub.com
www.MITProgram.com
www.StefanieHartman.com