Congratulations | The Becoming 12X Process

Create Your Event Profile!

Thank you for your interest in attending The Becoming 12X Process! This transformational experience is designed for aspirational entrepreneurs committed to achieving exponential growth in all areas of their lives. To ensure you maximize your experience please fill out the questionnaire below to create your Personal Event Profile. This will be used to assign you with an on-site coach for The Becoming 12X Process.

Your Becoming 12X Event Profile

"*" indicates required fields

First Name:*

First

Last Name:

Last

Email:*

Phone Number:*

Business Name:*

Website (if applicable):

What name would you like printed on your event materials? (If different from the information above):

Briefly describe your business and the services or products you offer,*

What is your current monthly revenue?*

Under $10,000

$10,000–$24,999

$25,000–$49,999

$50,000 or more

What is your revenue goal for the next 12 months?*

What is the biggest challenge you are facing in your business?*

Briefly describe what caused you to register for this program?

Have you participated in any personal or business growth programs in the past? If yes, please specify.

Would you like to bring a guest? (If yes, a member of our team will contact you after you register)*

Yes