Readyprogram-coachingprogram – Ready for the Right Guy

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MEET HIM & KEEP HIM

[headline style="1" font_size="35" font_color="%23c22019" align="center"]<strong>MEET HIM & KEEP HIM</strong>[/headline]

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EXCLUSIVE One-on-One Personal COACHING PROGRAM

[headline style="1" font_size="21" font_color="%23c22019" align="center"]<strong>EXCLUSIVE One-on-One Personal COACHING PROGRAM</strong>[/headline]

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Congratulations! Excellent Choice!

[headline style="1" font_size="30" font_color="%23c22019" align="center"]<strong>Congratulations! Excellent Choice!</strong>[/headline]

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[text_block style=”style_1.png” align=”left” font_size=”20″ font_font=”Verdana” font_color=”%23000000″]Before speaking privately with Michelle, please fill out this confidential application to be considered for a complimentary My Mr. Right Session.[/text_block]

[text_block style="style_1.png" align="left" font_size="20" font_font="Verdana" font_color="%23000000"]Before speaking privately with Michelle, please fill out this confidential application to be considered for a complimentary My Mr. Right Session.[/text_block]

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[custom_html]

Name:

Email:

Please briefly tell me a little bit about yourself::

Briefly tell me about your romantic relationship history::

What do you feel is slowing you, down, standing the way or stopping you from having the relationship of your dreams?:

Do you have any other commitments that would keep you from being 100% successful in this program? This could be a job, family, children, health, your ex, etc::

What is the reason you are seeking support in your love life at this time?:

What do you most hope to get from our conversation together?:

On a scale of 1 to 10 with 10 being high, what numerical value would you give in terms of how important it is for you to address this area of your life right now? (i.e. 1=low priority and10=extremely high priority).:

Are you prepared to financially invest in yourself to move forward toward having the relationship of your dreams?:

If selected, describe why YOU are a good candidate for Michelle's Meet Him & Keep Him program::

Please enter your phone number::

[/custom_html]

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  <p>Name: <input type="text" name="first_names" required="required"/></p><br />
  <p>Email: <input type="email" name="email" pattern="[^@s]+@[^@s]+.[^@s]+" required="required"/></p><br />
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  <p>Briefly tell me about your romantic relationship history:: <textarea name="customer[field_176240_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>What do you feel is slowing you, down, standing the way or stopping you from having the relationship of your dreams?: <textarea name="customer[field_176241_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>Do you have any other commitments that would keep you from being 100% successful in this program? This could be a job, family, children, health, your ex, etc:: <textarea name="customer[field_176242_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>What is the reason you are seeking support in your love life at this time?: <textarea name="customer[field_176243_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>What do you most hope to get from our conversation together?: <textarea name="customer[field_176244_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>On a scale of 1 to 10 with 10 being high, what numerical value would you give in terms of how important it is for you to address this area of your life right now? (i.e. 1=low priority and10=extremely high priority).: <textarea name="customer[field_176245_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>Are you prepared to financially invest in yourself to move forward toward having the relationship of your dreams?: <textarea name="customer[field_176246_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>If selected, describe why YOU are a good candidate for Michelle's Meet Him & Keep Him program:: <textarea name="customer[field_176248_value]" cols="60" rows="6" placeholder=""></textarea></p><br />
  <p>Please enter your phone number:: <input type="text" name="customer[field_176247_value]" required="required"/></p><br />
  <p><input name="submit" value="Submit" type="submit" class="simplero-submit"/></p><br />
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MEET HIM & KEEP HIM

EXCLUSIVE One-on-One Personal COACHING PROGRAM

Congratulations! Excellent Choice!

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