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   silverstone consulting

empowering excellence in business and in life     

   

 

 

The Business Owners

Mastermind Group

 

Confidential Application Form

(Please complete as much as you can)

 

Name

 

Position

 

Company

 

Address

 

City

   State    Zip

Phone

 

Email

 

Website

 

 

In which industry are you engaged?

 

On a scale of 1-10, indicate your personal level of satisfaction or confidence with the following business functions:
    1. Sales/Marketing

 

    1. Administration/Operations

 

    1. Production/Distribution

 

    1. Product/Service Development

 

    1. Financial/Money Management

 

    1. Other (please specify)

 

 

 

 

 

Please provide a brief description of your business challenges

 

 

What sales volume are you projecting for the coming year?

 

Is there anything else you would like us to know about you, your company, your product or yourself, that will assist us in aligning you with a Mastermind group.

 

 

 

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