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Business Mentorship &

Life Coaching Request Form

Thank you for considering our Business Mentorship and/or Life Coaching program. We're excited to learn more about you and your journey and how we can support you in reaching your full potential!

Please complete the form below and schedule your "get to know me" in person meeting. This step is very important to begin your journey. I can't wait to meet you and talk to you soon!

First name

Last name

Phone

Address

*Needed to determine the best meetup location.

Which program are you most interested in?

Business Mentorship

Life Coaching

What area in your life are you seeking growth in?

Personal Development

Business Development

Financial Structure

Tell me about your personal and/or business goals and why you are in need of a mentor/ coach.

What business industry are you in or the life situation you want to cover?

Any additional information you would like to share...

Schedule your "Get to know me" Meeting.

May 2026

Week starting Sunday, May 17

Time zone: Coordinated Universal Time (UTC)Address will be sent privately

Friday, May 22

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

How would you like the location sent to you?

Via Text Message

Via Email

Confirm

"Get to know me" $50

This is a 45min meeting that will help me get to know you, your goals and your plans better so that I can create a purposeful game plan. We will also discuss pricing, agreements and disclaimers before locking in on session dates.

Your meeting will be automatically canceled if you do not proceed with online payment. Click "submit" to proceed. *NO CASH PAYMENTS*

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