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* 1. Fill out this form to see if this program is a good fit. I will be in touch within a few days to chat more.

Your full name:

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* 2. Your email address:

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* 3. Your website (if you have one):

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* 4. How long have you been in business (if applicable)?

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* 5. What would you like to have achieved by the end of the 12 week program?

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* 6. Why does this project matter to you? 

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* 7. What has stopped you from getting this project done in the past?

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* 8. Your phone number (I will be in touch within a few days to chat about your exciting project idea!)

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