Name:

Email:

Title:

Company:

Street Address:

City:

State:

Zip:

Phone:

Best Time To Call:

I have problems with (check all that apply):

Having a clear vision
Creating clear, specific goals
Cancelled appointments
Networking
Prospecting
Wasting time on unqualified prospects
Losing control of the sales cycle
Getting people to make and keep commitments
Feeling pressure in selling situations
Getting: “I’ll think it over…”
Difficulties in actually closing the sale
Problems getting past the secretary
Making proposals and not getting the business
Not making all the money I feel I should
Having a hard time picking up the phone and making calls
Procrastinating
Enrolling my team in my company’s vision and mission

List any others:

Do you have a budget to solve this problem?

Yes No

Are you the person who makes these decisions?

Yes No

Are you committed to finding a solution
to this problem?

Yes No

Are you willing to take action and
learn from your results?

Yes No

Select the option you are interested in:

Group Coaching
Eight 30-45 minute sessions with Honorée
One 45-minute Laser Coaching Session per month with Honorée over 14 weeks
Eight 30-45 minute sessions with a Certified STMA 100-Day Action Program Coach
One 45-minute Laser Coaching Session per month with a
     Certified STMA 100-Day Action Program Coach
One 45-minute session
Full-day sessions with Honorée's expert team of business coaches
     based in San Diego or Las Vegas: $2500
Full-day session with Honorée at her office near Las Vegas: $5000

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