In-Depth Business Plan - request a personal consultation

Request a personal consultation

Application for a personal consultation:

Please note that all fields followed by an asterisk must be filled in.

I have looked through this web site in-depth business section and I would like someone to contact me to answer my questions and maybe help me get started with my own business in your team of consultants.

My email address is:*
I have looked through this web site in-depth business section and I would like someone to contact me to answer my questions and maybe help me get started with my own business in your team of consultants.

My email address is:*

How did you hear about this website?*
How did you hear about this website?*

	Personal referral
	Advertisement
	Letter box Flyer / Brochure
	Web search / just surfing

If you were referred here, what is the NAME of the person who referred you?

Some personal details:

First Name:*
Some personal details:

First Name:*

Surname: *
Surname: *

I would like you to call me by THIS name:*
I would like you to call me by THIS name:*

City:*
City:*

Country:*
Country:*

To help me in preparing for your consultation please answer these questions:

How many hours a week can you spend working on this business?*
To help me in preparing for your consultation please answer these questions:

How many hours a week can you spend working on this business?*

How much (US$) would you like to earn per month?

Would you like me to TELEPHONE you for a personal consultation with me?*
Would you like me to TELEPHONE you for a personal consultation with me?*

	YES � please call me
	No � email me only

If YES, please enter your phone number below
Include your Country and State prefix numbers

What is the best time of day to call you?

	Morning
	Afternoon
	Evening

What is your time zone?

MY INITIAL INTEREST LEVEL IS:*
MY INITIAL INTEREST LEVEL IS:*

	JUST LOOKING
	INTERESTED TO LEARN MORE
	VERY INTERESTED
	I HAVE BEEN LOOKING FOR SOMETHING LIKE THIS
	I AM VERY INTERESTED TO DO THIS BUT I WILL NEED TO BE TRAINED AND SUPPORTED
	I KNOW HERBALIFE AND WANT TO GET STARTED NOW WITH SOMEONE WHO WILL SUPPORT ME
	I AM A HIGH ACHIEVER AND I WANT TO REACH THE TOP

What is your previous work experience?
(just a brief outline please)*
What is your previous work experience?
(just a brief outline please)*

Have you ever worked in retail sales of any kind before?*
Have you ever worked in retail sales of any kind before?*

If you have worked in any MLM / network marketing / Direct Sales business before, what is the name of the company and what were the products you promoted?

Do you have any questions for me now,
so that I can get answers for them before I call you?
(enter them below)

Do you have any other things you want to tell me about before I contact you?
(enter them below)

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