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Launching RealEstate AgentGroupCoaahing Agreement Contactlnformation
Name:

Company: Mailing Address: City:

state:
ZipCode: Referred By:
MobilePhone:

Direct Iine: Em a il: Website: Pleose rcod ond initiol upon your opprovoL I understand the LaunchinS Estate that Real AgentGroup CoachinS is a groupcoaching Call program phoneconference, by occurring weekly eachmonthfor 45 minutes one (1) hour,except to on national holidays/weekends in which case benotified l'll thatthere beno callthat will weeK no ano make call. up lfurther understand agree and that the costofthis pro8ram S50per month,due on the first is payment charged my creditcard.I mayremove of eachftonth, andwill be set up asa recurfing and to myselffrom program anytime, writing, the at in before nextbilling the cycle thefirst(1'r)ofthe on month.lf lchooseto femovemyselfafterabillingcycle, payments any madewill not be returned. lagreeto be responsible my participation. for I agree keepthe confidences the peopleandinformation provided the progra to of in m.

lunderstand thattestimonials examples arenot intended represent guarantee and used to or that Iwillachieve same similar the or results. | understand agree and that the Coach reserves rightto removeme from the program any the at time. PrintName:

Signature:

Date:

t1n2

Quid€ool6 Onth. Merohanr ica - R6clrrjng TEniado.rs _ pdntAurM:arion Se Fom

Dana Whittakcr Busincss& Lii.e Coaching

Automstic Cr€dit Cad Billing AuthorizationFonn
lfyo would like ro enjoy the convenience ofautoratic t f,ling, sirply corr{rlete the Cre{tit Csd Infomation secriontelorv and sign the form AII requestertiniornniiJn is .iqril,i. up." ,pp",*i *" \till ar 10 ticallybillyour orcdilcardi,f lhe a,r)unt indirarcd nrr .rndyour rur"i ,pp"u, on you, rmnthly creditcad srat€rrEnt. nay cancet you "1lo,g""'*iif rhis auto{atic t i in; auth"Jii*ii *y iir" lV contactingus.

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I arthorizE DanaWhittakcrBusincss& Life Coaching to autol*rrically bil the ca.d listed below as

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Endbillilg vneo: E&)nuao expires:

Elctienrp.ouiae. *irren6irr-iiiii

Whittaker Business LileCoaching sccrors foltou cn dir c!rJ\ rhe ing

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Ca.&od.rs Zjp cod€(rcq!rir.d):
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(1ios dedil card biUiDSadjres)

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