Premier Business Coach For Entrepreneurs

LOCATION:

Toronto, CA

COACH:

Gary Mottershead

ANNUAL FEE & DEPOSIT:

$10,000.00 CAD

$1,000.00 non-refundable deposit

Confidential Application Form

* Required Fields

Date of Birth: (format mm-dd-yyyy)

Type of business: *

Business Address (Please no P.O. Box numbers): *

Province / State: *

Postal Code / Zip Code: *

Business Phone: *

Home Phone (emergency use only):

Email Address: *

Confirm Email Address:*

Name on Credit Card: *

Credit Card Number: *

Credit Card Expiry Month / Year: *

Is there someone specific that referred you to us? If so, please provide their name(s):

Please list any professional/trade associations to which you belong, if any.

Name of Assistant or Key Administrative Staff:

Email Address (Assistant):

Phone/Extension (Assistant):

Please inform us in advance of any specific dietary needs you may have:

Personal Income* (Minimum qualifying income is $200,000):

Please include me in your mailing lists for marketing materials.

(i) the balance of your annual fee is due three weeks prior to the date of the first session, and if you register for the Program within three weeks of the first session, the full annual fee amount is due at the time of registration; and

(ii) your deposit is non-refundable or transferable; and

(iii) once you attend the first session, none of the annual fee is refundable or transferable, and there is no credit for missed sessions; and

(iv) Strategic Coach may contact me, electronically or otherwise, regarding my progress in the Program or to let me know about new products, services, and features offered by Strategic Coach.

I hereby authorize The Strategic Coach Inc./The Strategic Coach USA Inc. to charge the credit card account number above for the deposit amount.**

I hereby authorize The Strategic Coach Inc./The Strategic Coach USA Inc. to charge the balance, plus applicable taxes on the full annual fee amount, three weeks prior to the start date using the above credit card.

* Required field.

**Please note that your credit card will not be charged for the deposit until you have been verified by a Sales Consultant.

LOCATION:

Toronto, CA

COACH:

Gary Mottershead

ANNUAL FEE & DEPOSIT:

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The Strategic Coach® Signature Program 200K TO 500K LEVEL

LOCATION:

Toronto, CA

COACH:

Gary Mottershead

Dates:

ANNUAL FEE & DEPOSIT:

Confidential Application Form

The Strategic Coach^® Signature Program 200K TO 500K LEVEL