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10X CEO CLUB

Application for 10X CEO CLUB membership

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Question 1 of 12

Please provide your full name

Question 2 of 12

Name of your business. 

Question 3 of 12

What is the legal structure of your business? Select one. 

A

INC. Subchapter S

B

INC.

C

LLC

D

Partnership

E

Sole Proprietor

F

Other

Question 4 of 12

How old is your business? 

Question 5 of 12

In a few words describe your business. 

Question 6 of 12

Describe your current short and long term business goals. 

Question 7 of 12

What would you like to achieve within the next 12 months in your business? 

Question 8 of 12

What are your annual revenues? 

Question 9 of 12

How many employees work for your company? 

Question 10 of 12

What are your expectations of a 10X CEO CLUB membership? 

Question 11 of 12

Provide any other information you would like to share. 

Question 12 of 12

Please provide the best telephone number and email for us to reach you. 

Confirm and Submit