Platinum Application

This is my confidential application form:
YES! I want one of the last spots in Anthony's Platinum Coaching Program.

How did you hear about Anthony and Magnetic Memory Method?*
Tell me a bit about yourself...*
Who are you? Age? Occupation? Hobbies? Etc
What is your core goal? If you were to have a discussion with Anthony in 3 months from today and you were looking back over the past year, what would have had to happen in your life both personally and professionally for you to feel happy with your progress?*
What makes you believe Anthony can help you get there?*
What is your #1 learning and memory challenge right now?*
What's your main motivation for seeking Anthony's personal help?*
Name*
Email*
Your Personal Phone Number (Please Include All Country And Area Codes)*
As you know, joining this coaching program is by application only. Why are you a GREAT fit?*
If you are picked, are you prepared to start immediately?*
- Yes
- No

Thanks again and talk soon!

Sincerely,

Anthony