How would like to be coached by John personally and enter the Millionaire Academy coaching program? Simply complete the information below and one of our team members will contact you...

Please note that answering this questionnaire "DOES NOT" automatically
qualify you for this Millionaire Coaching Program.

* All Fields Required
First Name *
Last Name *
Work Phone*
Home Phone *
E-mail *
Best Time To Call *	Right now within the next 4 hours Tomorrow Morning Tomorrow Afternoon Tomorrow Evening E-mail or call me to schedule
Enter Your Time Zone *
Country *
Are You Coachable/Teachable?*	Yes No
What have you decided you can invest in yourself and your business? *	4-7k 7-15k 15-50k
What is your monthly marketing budget?
How much time per week are you willing to devote to attending the training, doing the assignments, and building your business through the Coaching Program?
What type of business do you have? *	Network Marketing Real Estate Speaking Coaching Other
What is your current income level?*	0-30k 31-60k 61-100k 100k+
What are the 3 major challenges you are currently having in building your business?*