Speed Seduction Consult Application - Members Area
Enter Your First Name
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Enter Your Last Name
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Enter Your E-Mail Address
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Enter Your Phone Number (include country code)
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Enter Your Skype ID (if you don't have one type "None")
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What is your occupation?
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Please select your current income range:
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Less than $50,000
$50,000 to $100,000
$100,000 to $250,000
$250,000 to $500,000
$500,000 and up
Your Previous Training From Ross Jeffries
Have you attended any prior Ross Jeffries live trainings, such as seminars?
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Yes
No
Have you purchased any of Ross Jeffries' recorded courses?
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Yes
No
Planning Our Time Together
What results would you enjoy having as a result of our work together?
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Building Unstoppable Confidence With Women
Getting Back Into The Game After A Painful Break Up Or Divorce
Easily Getting 9s and 10s
Meeting Women, Anytime, Anywhere
Escalating Physically And Closing The Deal
Other (describe below)
If you checked the "Other" box to the previous question, please describe:
After we’ve worked on this, how will you know you’ve gotten the desired results, or even better?
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Extremely Important Before You Submit Your Application (Please Proceed If You Agree To The Following):
Please be aware that Ross Jeffries does not offer, nor does he practice psychotherapy. Should he take you on as a client, he does so as a coach and guide, not therapist.
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Yes, I Understand And Agree, And I'm Ready To Get Started!
Your confidentiality is fully protected! All of the information in your application and all information in subsequent communications with me will be held and kept in the strictest confidence.
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Yes, I Understand And Agree, And I'm Ready To Get Started!
