Small Business Success Institute Application | Entrepreneur's Coaching and Marketing Strategies

Small Business Success Institute Mini Application

Please complete the Small Business Success Institute Program application form and return to Compass Rose Consulting, LLC to reserve your place in this incredible coaching program. Thank you for your honesty. Be assured that this form is confidential and only the coach sees this information. Call me if you have any problems or questions at:
973-948-7673.Please note: ALL information is keep completely CONFIDENTIAL **If there are any questions that you feel uncomfortable with that is fine. Just leave them blank. The purpose of the application is to give me enough information to make a good decision about your participation in the program, your goals and aspirations, and is for you to spend some time reflecting on what you really want.

Name

Company

Address, City, State, Country, Zip

Phone

Please describe your business as it is right now?

What is your vision of your business?

Does your business support your desired lifestyle?

How many hours do you work each week?

How many vacations do you take each year?

Do you want to have more time, more vacations?

Yes

Maybe

If you could wave a magic wand and change three things in your business RIGHT NOW, what would they be?

Please describe why you are a good candidate for the Entrepreneurs VIP Coaching program.

Select Your Payment Plan:

Annual $6000

Three Payments: $3000; $2200; $1500

Monthly Payments of $625

Entrepreneur’s VIP Coaching Program and Mastermind Participation Agreement Once I am accepted into this program, I authorize Compass Rose Consulting, LLC to charge my credit card as indicated in this application for membership in the Entrepreneur’s VIP program. I understand and commit to working with total integrity, honesty and confidentiality with other members of this Special Inner Circle group of like-minded top achievers. I understand and agree that, by completing and signing this enrollment form, if accepted into the program I will have my credit card charged or check cashed at the participation rates described above as based on my selected investment option for my inclusion into this private and exclusive program. I understand and agree that by completing and signing this enrollment form that I am committing to the complete 12 month period in the program from the date on this enrollment form. I further understand and agree that, if, for any reason, I choose to remove or cancel myself out of the program prior to the end of the end of the twelve (12) month program dates, I am obligated to pay or continue paying any outstanding balance(s) for the entire twelve (12) month period from the date printed on this enrolment form. If I have selected the monthly investment option I understand that this is a 12-month, non cancelable commitment and I understand the program details described in the letter which accompanied this agreement. After the twelve (12) month period has elapsed, the agreement will be automatically renewed using the same payment plan option selected, with the price locked in, unless the participant notifies Compass Rose Consulting, LLC in writing to discontinue membership. If the membership is discontinued and then I decide I want to enroll again in the program I understand that I will have forfeited my price lock and will have to enroll at the current price. Further, Compass Rose Consulting, LLC has sole discretion to terminate the agreement and remove any participant from continuing in the program as at anytime without refund if the participant is disrupting the program or is difficult to work with, becomes difficult to work with or ceases to follow the program guidelines. If done, participant will no longer be charged the monthly rate if participant is on a monthly payment plan. I understand the details of my application and this agreement of participation and fully accept the terms as outlined.

Yes

Your Signature (Please type in your name)

Date

The next step is to hit the submit button and we will take you to your payment options.

Your Name:

Your Email: