Introducing ...

The Psycho-Cybernetics Fearless Success Coaching Program

Exclusive Enrollment Form

 Dear Matt,

YES! I'm ready to be personally mentored by you for automatic, near effortless success in every area of my life. I want to rid myself of fear, self-doubt, worry and all other negative ideas and notions. I'm ready to supercharge the Automatic Success Mechanism I have within my own mind. I'm ready to discover the untapped power of my Creative Imagination, develop unshakeable self-confidence and bring a POWERFUL Self-Image into ALL my business and personal dealings.

In short, I want to be FEARLESS. I want to live fearlessly. And I want to put this fearlessness into my business and personal life and watch them take off like a rocket. I want to live life straight-up, with gusto, passion and enthusiasm... and... by doing so, crash through every obstacle I've ever encountered.

If there are any spaces left, please enroll me in The Psycho-Cybernetics FEARLESS SUCCESS Coaching Program. I understand as a member of this exclusive "insider's group" I will receive:
• Admittance to 4-LIVE "Closed Door" 1-day trainings in Tampa, Florida - Valued at $10,000.

• Admittance to 8-LIVE Group Teleseminar Calls - Valued at $2,000.

• 12-months of e-mail access to you - Valued at $1,000.

• Networking parties - Value could be up to $100,000 to $1,000,000 or more?

• Possibility of working on a wallet-fattening project with you - Value could be up to $100,000 to a $1,000,000 or more?

• Surprise gifts, prizes and awards - Value?
Also, if I'm enrolled, I understand I'll receive these two free bonuses valued at $976.40:

FREE BONUS #1: The Complete 12-Week Zero Resistance Living System... and...

FREE BONUS #2: Free copy of your new book, Theatre of the Mind™ book when it arrives.

All in all, I realize I'm receiving $13,976.40 in total hard-cost value... not to mention the much greater opportunity value I'll receive from the networking parties and possible project with you.

I also realize you only have a very limited number of openings for this program and that I am not guaranteed a spot. If I don't make it in, I understand you will not charge me anything.

_____Please sign me up for The Psycho-Cybernetics FEARLESS SUCCESS Coaching Program for $7,995.00 and, because I am paying in full today, give me an instant $500.00 deduction, dropping the total amount for me to $7,495.00. Also, please send me the complete Zero Resistance Living System and enroll me as a member in your Psycho-Cybernetics Success Group wherein I receive Psycho-Cybernetics - the Newsletter, your 50 Most Amazing Meditations CD, Success Scroll and Success Card sent each month for only $39.95. I'm aware that my membership will begin immediately and last for 12 months.

_____Please sign me up for The Psycho-Cybernetics FEARLESS SUCCESS Coaching Program using the easy installment plan for $1,995.00 today. Then, begin ringing me up for only $681.36 each month for at least 11 months (total $8,176.32). Also, please send me the complete Zero Resistance Living System and enroll as a member in the Psycho-Cybernetics Success Group for only $39.95 a month. I'm aware my membership will begin right away and will continue for one year - then will roll into regular monthly continuity unless I say stop.

Signature of Psycho-Cybernetics Power Coaching Program Member

In the event that you are not accepted into this group, your deposit will be refunded. Winning entrants will be notified within one week.

Name _____________________________________________________

Address ____________________________________________________

City, State, Zip ______________________________________________

Country ____________________________________________________

Phone _____________________________

FAX _____________________________

Email ________________________________________

CC #1 (no debit cards) ____________________________ Exp. _________

CC #2 (please) ___________________________________ Exp. _________

Signature _____________________________________

Business Type ________________________________________________

Website ______________________________________________________

Estimated 2006 Income _________________________________________

Income Goal for 2007 __________________________________________

Please write one paragraph that explains WHY you should be selected as a member in the 2007 MMJVC:

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Important: To ensure the greatest chance of being accepted as a new member - make sure you submit this form in IMMEDIATELY.
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