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Application for
Ken McCarthy's Mastermind Group

Please enter all your information below. We will review your application and if you are accepted we will register you for the upcoming Mastermind Group.

All fields must be filled out to qualify. Submit your credit card information and if you are accepted we will process your card for your tuition.

1 - Estimate of the total gross income your System training has been key in helping you generate:

2 - List other Master Mind groups that you have been a part of (or are currently a part of)

3 - If you have been (or are) a member of a Master Mind group, what you do you like most about the experience - and least about the experience

4 - If you have been a member of a Master Mind group before, list least three major contributions you have made either to individual members or to the group

5 - Please describe at least the most significant resource you are able to bring to the System Seminar Master Mind Group (if there is more than one, you can include it.)

6 - Describe your current business activities (provide web sites where appropriate)

7 - What are you currently working to accomplish?

8 - In the next year?

9 - In the next five years?

10 - In your life?

11 - If you are accepted, are you ready to be registered for the next Mastermind Group meeting?

First and Last Name:
Company Name:
Billing Address:
City:
State:  Zip:
Country:
Email:
Phone:

How do you wish to pay?
Visa Mastercard Discover AMEX

Card number:

Expires:
Name on Card:

The System
Phone: 845-757-5037   Fax: 845-757-5031
Customer service: customerservice@thesystemseminar.com