Michele Blood’s
Personalized Coaching for SUCCESS!
Six months of Masterminding
Special for the first 40 People
2010 SUCCESS MasterMinding, COACHING SPECIAL
For the first 40 people ONLY $297 After 40 people it will be $997
*This special price is ONLY available for the first 40 people.
These sessions with Michele are literally PRICELESS!
Book in
now
only
40 positions open
Please fill out as completely as possible.
Michele will be contacting you personally to find out what day you would like your personal one-on-one coaching with her, so please be sure to have your correct email address and phone number for her to contact you. She does the coaching on Wednesdays, Thursdays, and Saturdays.
If you would like to fax in your form, please click below to be taken to a
Word Document that you can print and fax to 1-858-277-0629.
Click Here For Word Document
Name
Address
City
State
Zip
Country
E-mail
Phone numbers:
(If International please include country code)
Day
Evening
Fax
Website Address
How did you hear about us?
Method of payment
Credit Card
Credit Card Number
We accept American Express, MasterCard, Visa, Discover
Check
If sending in a check please make this out to Michele Blood you must however be booked in first.
Check Number:
Paypal
Once you complete paypal payment please fill out and submit this form.
This special includes a full 1 hour Masterminding session one on one with Michele to be done within 2 months of booking session. Six Months of teleconference calls, done once a month. I understand it is non refundable and must be paid for in advance. I understand I must give a minimum of 48 hours notice if I wish to reschedule my session or 50% of my fee will forfeited. If Michele has to reschedule she must also give 48 hours notice.
Click here to Agree to terms.
Please fill in these areas you would like Michele to help you succeed in. If it is a book you wish to write this would be best kept on its own as one topic. Please only fill out the areas you would like to speak to Michele about.
Business/Career Goals
What is your dream career or business? What do you wish to create?
EXAMPLE: I am a writer and my dream is to have the freedom to be able to push the absolute limit of my talent and create the best work I can.
I wish to write a book and or finish mine
Please be specific is it non-fiction, fiction, self-help etc? How far have you gone and if not yet started and you are not sure what you wish to write a book about let us know this also, as Michele can also help you with this easily.
Material Dreams
Please share some of the things you would desire to have in yours?
Health Goals
If you have had any health challenges, what are they and what do you desire to feel and be health wise?
Family / Relationships / Romance
What would you like to improve and/or do you wish to attract a romantic soul mate? Please write this down.
Spiritual Life
Example:
I wish to be more and more spiritually aware and confident in my knowingness of The Infinite/God. I wish to be very Intuitive and always know when I am being Divinely Guided etc......
Please list the top six Goals on any topic or goal that you REALLY want to
accomplish in the next 6 months
1)
2)
3)
4)
5)
6)
Now choose the Top 2 you would like to work on with Michele.
1)
2)
Please write a short bio about yourself.
We thank you and know that this will be the most fulfilling and rewarding time of your life.
NOTE! You may record your coaching session however you may not use it the recording for any promotional or commercial ventures. Of course you can use the information just not the recording.
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