PRINT this application, complete and return it via fax to 705-560-8244 or complete it online. If completing offline, please remember to write CLEARLY so I can read your answers.

YES Laurie, I want private access to YOU and your personal coaching and mentoring, so I can start or grow my home-based business, save time and money, give myself the gift of freedom, control and personal satisfaction, and start making money sooner!

Please accept this application as my expression of interest to be one of your VIP
Personal Coaching Program members.

Name *
Company Name
Street Address

City/Town

State/Province

Zip Code

Country

Phone

Email *

Website

1. Describe your current situation. Do you have a home-based business and want to make it work better for you or do you plan to start one?
2. Are you currently employed full-time, a casualty of corporate downsizing, recently retired, or other?
3. What type of home-based business do you plan to build or do you currently operate?
4. What do you want from your business? ie, opportunity to leave full-time job, more time with kids, freedom, unlimited earning potential?
5. What obstacles are slowing you down or blocking you right now?
6. What strengths/special skills and abilities do you bring to your business?
7. What areas require development and attention?
8. How long have you been working on your business?
9. Where do you want to be with your business in six months?
10. What types of products/services do you offer?
11. How much money is your business currently bringing in on a monthly basis?
12. What would you like to see it bringing in six months from now?
13. What marketing practices have you used so far?
14. What would you like to accomplish during our time together?
15. How much time are you willing to invest each week to help you realize your goals?
16. How will you know you have reached your goals?
17. Why do you want to work with me?
18. Why should I choose you to be one of my V.I.P.'s?
19. Is there anything else you would like to share that will assist me in considering you for this program?
20 Have you ever worked with a coach before? If so, how long ago and what were the results?
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Thank You!

Now please fax the completed application to 705-560-8244 or depress the Submit button at the bottom of the page.

I will personally review your application and contact you with within five business days to let you know if you are approved for an interview. If you are approved, we will schedule a phone appointment so I can speak with you personally before I make a final determination.

If you have any questions, please write to info@thehbbsource.com

Thank you again for your interest in V.I.P. Coaching. I look forward to receiving your application and possibly working with you personally!

Yours in Success,


Laurie Hayes
"The HBB Source"