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Mike'd -MASTERMIND
CONFIDENTIAL APPLICATION Complete Contact Information/Profile:
*
Indicates required field
Name
*
First
Last
Business Name
*
Business Street Address
*
Line 1
Line 2
City
State
Zip Code
Country
Business Phone
*
Email
*
Years in Current Business
*
Current Michael Andreula Insider’s Circle™ Member Status:
*
Diamond/Diamond Luxury
Gold/Gold Luxury
Silver
Non-Member
Web Site(s) Where People Can See Your Businesses
*
What are the products or services you provide?
*
BRIEFLY DESCRIBE CURRENT BUSINESS INCLUDING YOUR MARKET AND SCOPE
*
Briefly describe why you feel you’re a good candidate for the Mastermind Coaching Program: (attach additional sheet of information if necessary)
*
CONFIDENTIAL DATA
Business Gross Volume
2013 - Projected
*
Under $250,000.00
$250,000.00 - $500,000.00
Over $500,000.00 - $1-Million
Over $1-Million - $3-Million
Over $3-Million - $10-Million
Over $10-Million
2012
*
Under $250,000.00
$250,000.00 - $500,000.00
Over $500,000.00 - $1-Million
Over $1-Million - $3-Million
Over $1-Million - $3-Million
Over $10-Million
2011
*
Under $250,000.00
$250,000.00 - $500,000.00
Over $500,000.00 - $1-Million
Over $1-Million - $3-Million
Over $3-Million - $10-Million
Over $10-Million
Spouse/Partner Name
*
First
Last
Optional Home Street Address
*
Line 1
Line 2
City
State
Zip Code
Country
Optional Home Phone
*
Optional Cell Phone:
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Spouse Is active in business:
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Yes
No
Biggest Personal / Business Challenge (Rank EACH 1-10, 10 “Big”, 1 “Teeny”
Time Management & Personal
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1
2
3
4
5
6
7
8
9
10
Productivity
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1
2
3
4
5
6
7
8
9
10
Clarity Of Goals & Objectives
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1
2
3
4
5
6
7
8
9
10
Turning an Ordinary Biz Into An Extraordinary Biz
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1
2
3
4
5
6
7
8
9
10
Employees
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1
2
3
4
5
6
7
8
9
10
Skills Better Than Present Opportunity
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1
2
3
4
5
6
7
8
9
10
Fighting To Shed/Transcend Limiting Beliefs
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1
2
3
4
5
6
7
8
9
10
Confidence &/or Strategies To Raise Prices/Fees
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1
2
3
4
5
6
7
8
9
10
Competition, Commoditization Finances – (i.e., making but not keeping money)
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1
2
3
4
5
6
7
8
9
10
Leaping vs. Ladder-Climbing (I’m still ladder climbing)
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1
2
3
4
5
6
7
8
9
10
Still Heavily Influenced, Restricted By ‘Norms’
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1
2
3
4
5
6
7
8
9
10
Other:
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Self-Assessment: 1=Poor to 5=Damned Near Perfect
Advertising, Marketing & Sales Skills
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1
2
3
4
5
Time Allocated To Marketing & Sales
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1
2
3
4
5
Autonomy (Able To Do Business On Your Own Terms)
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1
2
3
4
5
Discretion In Selecting Opportunities
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1
2
3
4
5
Tough-Mindedness
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1
2
3
4
5
Satisfaction With Income & Income Growth
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1
2
3
4
5
Satisfaction With Wealth & Wealth Growth
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1
2
3
4
5
Satisfaction With Time Allocation To Biz, To Personal
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1
2
3
4
5
Agility: Anticipation of change, active embrace of change
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1
2
3
4
5
Control Of Business & Life
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1
2
3
4
5
People You Associate With
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1
2
3
4
5
People You Rely On
*
1
2
3
4
5
Year To Year Improvements
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1
2
3
4
5
Ability To Influence Others
*
1
2
3
4
5
DO YOU REGULARLY OR FREGUENTLY USE:
Direct-mail
*
Yes
No
Voice Broadcast
*
Yes
No
Web Site
*
Yes
No
E-Mail
*
Yes
No
Print Media Advertising, Local
*
Yes
No
Radio/TV Advertising, Local
*
Yes
No
Publicity/News Releases, Local
*
Yes
No
Newsletter
*
Yes
No
Personal Networking
*
Yes
No
Tele-Marketing
*
Yes
No
Other (please specify):
*
DESCRIBE 3 OR 4 SPECIFIC MAJOR GOALS YOU ARE WORKING TOWARD AND WOULD LIKE TO ACCOMPLISH WITH THE HELP OF Michael Andreula's Info-MASTERMIND GROUPs:
*
YOUR SCHEDULE
Number of hours you work, average week
*
Number of hours you’d prefer to work, average week
*
% of work-time you rank as productive
*
No. of hours per week you work “on” vs. “in” your business
*
No. of weeks of vacation taken:
2010
*
2011
*
2012
*
No. of weeks of vacation you’d prefer taking:
*
READINESS ASSESSMENT
RANK YOURSELF IN ONLINE AND OFFLINE MARKETING KNOWLEDGE: (Mark one)
Select One
*
Very knowledgeable; serious student; very active in using strategies
Very knowledgeable; serious student; but not very actively implementing
Somewhat knowledgeable; actively implementing
Somewhat knowledgeable but not very actively implementing
A relative novice
WHAT DO YOU FIND MOST DIFFICULT TO “SWALLOW,” AGREE WITH, EMBRACE, USE OR IMPLEMENT, FROM MICHAEL ANDREULA'S INSIDER’S CIRCLE™?
*
TITANIUM INFO-MASTERMIND
THREE “2-day” Mastermind Meetings
Two meetings personally facilitated by Micahel Andreula
One meeting facilitated by a Guest Chairman, with focus on online marketing
Benefits (Same as 2014):
• DIAMOND MA MEMBERSHIP includes
• Michael Andreula Marketing Letter
• Gold Letter & Gold Call/Audio CD
• Diamond Letter + Internet Profits Report & Diamond Call/CD
• Diamond Networking Receptions & Privileges @
SuperConference
SM
&
Info-SUMMIT
SM
• Weekly Diamond Pdf
• Diamond and Gold Online Resources
• Diamond Discounts
• Michael Andreula Marketing to Affluent Letter
• Copy Confidential + Mike's Look Over My Shoulder
Changed Benefits:
• One “9-1-1” one-on-one consulting call w. Mike (20 Min.)
• NEW: Free Admission to main 2014 “Mike-ONLY” Seminar (appx. $2,000.00 value)
• Inter Circle Membership/Michael Andreula Method Info-Marketing Letter
Fee: $28,000
I wish to enroll in the Titanium Info-MASTERMIND Coaching Program provided by Michael Andreula Insider’s Circle™ and authorize the following charge. I understand that this is a 12- month non-cancelable commitment. I understand the program details described in the information which accompanied this Agreement; and I warrant the information I have provided on the accompanying Application is accurate.
*
Agree
Select One
*
(a)
(b)
(c)
(a)
Prepay: $24,000.00 $2,000.00 Deposit Now, $22,000.00 March 15, 2015 (Savings of $4,000.00)
(
b)
3-Monthly Payments: $2,000.00 Deposit Now, $8,000.00 March 15, April 15 and May 15, 2015 (Savings of $2,000.00)
(
c)
6-Monthly Payments: $2,000.00 Deposit Now, $4,333.33 March 15 – August 1
I authorize the above charge on the credit card below and understand that there will be an immediate $2,000.00
non-refundable deposit for Titanium Info-MASTERMIND (refundable if my application is not accepted) that will
be deducted from my last payment.
This agreement is non-cancelable except by Michael Andreula Insider’s Circle TM L.L.C. It is understood that this agreement is binding on both parties as written.
Subject to acceptance.
NOTICE: After acceptance, all deposits and payments made are NON-refundable. This is a 12-month commitment. Michael Andreula Insider’s Circle™ (MAIC) reserves right to accept/reject or terminate participants without explanation as to criteria or cause. Applicant acknowledges that no guarantees expressed or implied, concerning specific results to be achieved via participation were relied on in applicant’s decision to participate. Participants also acknowledge that advice and information provided via TITANIUM Info-MASTERMIND is not intended as or to be considered as substitute for legal, accounting or other, similar professional advice or services, and should such advice or services be appropriate, participant is advised to seek such advice or service from the proper professional. Although TITANIUM Info-MASTERMIND Members are afforded the opportunity to network with other TITANIUM Info-MASTERMIND Members, MAIC and Mr. Andreula do not endorse any services or products of any Coaching Member and members are required not to suggest any such endorsement. Further, MAIC and Mr. Andreula do not accept any responsibility or liability for individual participants’ particular interpretations, uses or applications of information provided, and participants indemnify MAIC and Mr. Andreula from any such liability.
Submit
Index
Interviews
Dashboard
New Book
Episodes
About
Testimonials
Contact
Members
Warmup
Limited Time Offer
Photos
Advertise