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Application for More Options

If you are unable to attend a course and are needing help immediately, you do have options.  For a limited-time only we are offering two options to the general public.  They are:

1) IndePartner Program* - Get 12-months of our services and coaching, including billing, collections, employees, documentation, software, marketing and promotional materials customized for your practice for the cost of one low-level employee.  Get more details by completing the form below.

If you are interested in this option, please complete the form below.* 

-OR-

2) Self-Study Program - that involves YOU listening to audio lessons, video tutorials, and access to proprietary documents, templates, and tools.  For a full 12-months you have access to our website and full support from our team via telephone and email.  THIS IS A SELF-LEARNING program.  Sign-up now!

Attending a course is your best option since it is the most economic and intensive way of receiving this learning, however, these other options are available and very powerful as well.

*Acceptance is not guaranteed.

Please identify and describe yourself:

First Name
Last Name
Middle Initial
Date of Birth
Sex Male Female

Please provide your CONTACT information:

Occupation/Title
Home Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
Personal E-mail

Please provide YOUR PRACTICE information:

Name of Practice
Open for business yrs      months
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Business Phone
FAX
Business E-mail

Please describe your primary services:

What are your practices STRENGTHS?

What are your practices WEAKNESSES?

What would you define as your practice's largest obstacle to success?

If you could have any ONE thing to make your practice very successful what would it be?

What is the measure of "SUCCESS" for your practice?

What is your exit strategy?  What are you trying to build? and how do you walk away? When do you walk away?

What materials do you currently have? 

Business cards

Referral pads

Brochure

Flyers

Website

Postcards

Thank you cards

Birthday cards

Pamphlets

Folders

Posters

Promotional Items

Do you offer any "special" programs? (example, back class, weight loss, etc.) If so, please explain.

Is there anything else we should know about you or your practice?

 

If approved, when are you wanting to start the coaching sessions. 

 

   Enter the Code You See to the Left

Please be patient, it may take a couple of minutes to send your application after hitting "Submit"
 

100% MONEY-BACK GUARANTEE
If you are not completely satisfied with the course you will receive a full refund. No questions, no hassles, no problem.

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