You're ready to grow your business, develop yourself and your team, and be supported in an unprecedented way! I'm confident that CEOChix will provide that. Complete the following application to be considered for the upcoming annual mastermind.
First name *

Last name *

Business name

Business website

How many years have you been in business?

What is your expected revenue in 2017?

Provide a summary of your business? What type of business? Who do you serve? What problem do you solve?

Where are you located (city, state, country)?

What is your time zone?

What do you feel are your unique gifts and strengths?

What are the biggest challenges you are facing in your business?

What are your weaknesses and/or areas you can use extra support or guidance?

Are you currently coaching with someone else?

Are you in another paid mastermind?

What do you desire to get out of the CEOChix Mastermind Program?

Are you able to commit to attending a minimum of two events [REQUIRED]? 

(West Coast Retreat: Jan 26-28, East Coast Retreat: May 4-6, BizCHIX Live 2018 Oct 3-6; alternative option for Europe/UK is small group retreat in Barcelona April 4-7)?

Which level of CEOChix are you most interested in?

Which payment method would you like?

Tip: The pay in full option has potential tax benefits for self-employed entrepreneurs. If this option is chosen, you can separate these payments into 3 payments, but must be paid in full prior to Dec. 20. You can also pay in one payment as well.

What days are you available to mastermind? (Check all that apply)

What meeting option is your preference? (choose one)

Is there anything that you would like Natalie to know?

If you do not receive a confirmation email with your answers, then your application was not received by us.  Thank you so much for applying. I am honored by your interest in the CEOCHIX mastermind program."

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