VAC Application (Please Answer All Questions Fully To Ensure Your Call)

Your Full Name:

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* 1. Your Full Name:

Your Gender:

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* 2. Your Gender:

Your Location (Please Include City & Country):

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* 3. Your Location (Please Include City & Country):

Your Best Email:

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* 4. Your Best Email:

Please Select Your Call Preference:

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* 5. Please Select Your Call Preference:

What's Your Ultimate Vision For Yourself As A Professional Speaker?
(What Will You Be Doing, Who Will You Have Become And WHY?)

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* 6. What's Your Ultimate Vision For Yourself As A Professional Speaker?
(What Will You Be Doing, Who Will You Have Become And WHY?)

What's Your 12 Month Income Target For Yourself As A Speaker?

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* 7. What's Your 12 Month Income Target For Yourself As A Speaker?

Once Again WHY Is Achieving The Above Vision & Targets A Must For You?

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* 8. Once Again WHY Is Achieving The Above Vision & Targets A Must For You?

What Do You Do Currently [Life, Job/Business & Details Of Any Speaking]?

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* 9. What Do You Do Currently [Life, Job/Business & Details Of Any Speaking]?

What's Your Current Income Bracket?

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* 10. What's Your Current Income Bracket?

What Are Your Three Biggest Current Challenges As A Speaker And Why?

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* 11. What Are Your Three Biggest Current Challenges As A Speaker And Why?

What Have You Done Previously To Address Your Challenges?
(Include What You Invested In Terms Of Money And Time & The Results ?

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* 12. What Have You Done Previously To Address Your Challenges?
(Include What You Invested In Terms Of Money And Time & The Results ?

On A Scale Of 1 (lowest) To 100 (highest) How Committed Are You To Taking Massive Action Over The Next 12 Months TowardsAchieving Your Ultimate Vision As A Speaker?

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* 13. On A Scale Of 1 (lowest) To 100 (highest) How Committed Are You To Taking Massive Action Over The Next 12 Months TowardsAchieving Your Ultimate Vision As A Speaker?

0 10
i We adjusted the number you entered based on the slider’s scale.
What Are You Willing To Invest In Terms Of Time To Achieve Your Ultimate Goal

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* 14. What Are You Willing To Invest In Terms Of Time To Achieve Your Ultimate Goal

What Are You Willing To Invest Financially To Achieve Your Ultimate Goal

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* 15. What Are You Willing To Invest Financially To Achieve Your Ultimate Goal

If We Addressed ONE Of Your Three Main Challenges During Our Call, Which One Would It Be And Why?

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* 16. If We Addressed ONE Of Your Three Main Challenges During Our Call, Which One Would It Be And Why?

How Do You Prefer To Learn And Be Mentored?

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* 17. How Do You Prefer To Learn And Be Mentored?

That's It
All You Need To Do Now Is Hit The
"I AM 100% Committed To The Call" Button Below
I look forward to speaking with you soon
Harry

T