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Referral Form

Who do you know that would like to enjoy similar benefits in their life that you have through coaching? Use this form to pass a referral to your coach and facilitate an introduction. Before contact is made with the name(s) you list, your coach will contact you to discuss.

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Question 1 of 4

Brainstorm on 1-3 people that you know who face similar challenges to you:

Question 2 of 4

Brainstorm on 1-3 people that you know who desire similar results to what you have attained:

Question 3 of 4

In the space below provide the contact information for the one individual you most would like to see eliminate the challenge and create results you have created in your life. Please provide the following:
NAME
EMAIL
PHONE NUMBER

Question 4 of 4

For the name you just listed, please provide a 2-3 sentence description as to why you most want them to be introduced to me as a coach:
(i.e. Kim, I know you have a deep passion for your business and desire to be of service to people. I did as well when i first started my business. Because i didn't yet know how to organize, streamline and automated everything required in my business i spent countless hours wasting time on stuff i hated doing. I know you are frustrated in your business about the same thing and just want to work with great clients and make good money. I want to introduce you to this coach because they helped me in doing just that. I want the same for you!)

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