Million Dollar Inventing
Personal Mentoring Program
Application Form

I'd like to apply for membership in the Million Dollar Inventing Personal Mentoring Program. I understand that a maximum of 16 people will be accepted for this program and that submitting this form is the first step in the application process but does not constitute enrollment. Once my application has been reviewed, I'll be advised as to whether or not I've been accepted for the program.

Note: All information is confidential and will not be shared with anyone

Please take the space you need to answer the following questions completely, but concisely.

Million Dollar Inventing
First name:
Last name:
Title:
Company Name:
Address:
City:
State/Prov:Zip:
       
Country:
Daytime Phone :
Email address:
What business are you currently in?:
Do you own the business or are you an employee?:
How long have you been in business?:
What was your company's revenue last year?:
What was your company's revenue the year previous to that?:
Please describe any licensing experience you may have:
How well do you handle learning new information and new skills that may be different from what you're used to?:
Are you able to implement unfamiliar tasks and stick with them until they become familiar?:
How comfortable are you in calling executives who don't know you to present your ideas:
Are you clear that the key to success in licensing is persistence and repeatedly performing a proven set of tasks until you get the results you're after?:
What would you most like to get out of this program?:
What areas do you see yourself requiring the most help from me in with this program:
Why would you be an excellent member of this program?:


NOTE: Once I receive your completed application, I'll review it and get back to you by email within 48 hours

Our privacy pledge: We hate spam as much as you do. We never sell, trade, rent, share, or otherwise divulge any information you've provided to anyone else. Not at any time, not for any reason.

TERMS OF SERVICE • COPYRIGHT • PRIVACY • DISCLAIMER • ANTI-SPAM
Copyright © 2010 Profit Alchemy. All Rights Reserved.