TOP EARNER S CLUB PLATINUM & DIAMOND MASTERMIND INFORMATION & APPLICATION

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1 Ray & Jessica Higdon s 2014 TOP EARNER S CLUB PLATINUM & DIAMOND MASTERMIND INFORMATION & APPLICATION 1. Read the Mastermind invitation letter. 2. Review the Mastermind privileges and dates. 3. Send your completed application to Support@RayHigdon.com no later than Sunday, July 20 th, 2014

2 Ray and Jessica Higdon s TOP EARNER S CLUB MASTERMIND APPLICATION Confidential Application for 2014 Platinum Membership Please accept this as my application to be accepted as one of your exclusive Top Earner s Club Mastermind Members for Yes Ray and Jess! I want to partner with you and gain full access to your coaching, mentoring, network, guidance and expertise as a member of your Top Earner s Club PLATINUM / DIAMOND (circle which one) Mastermind. I understand that you will use this application to select the ideal group of like-minded entrepreneurs who are committed to wealth and well-being, and that you will let me know within 4 business days whether I ve been accepted. Name Company Name Street Address City / Town State, Zip Country Phone Mobile Phone

3 Birthday (month/day) Assistant Name Assistant /Phone Website(s) Please describe what you are currently doing to market your business right now. Tell us about you and why you ve chosen to join this Mastermind.

4 Briefly describe why YOU are a good candidate for this group and what you feel you would contribute to a Mastermind of committed, invested entrepreneurs? Specifically how large can you see yourself growing with Mentoring and Masterminding? If you could wave a magic wand and change three things in your business or life over the next 12 months, what would they be?

5 Who or what do you think is your biggest obstacle in reaching your current goals? What was your approximate gross business revenue for each of the indicated years? (Please note this is completely CONFIDENTIAL) 2014 (forecasted) What gross revenue would you like to reach for 2014? Anything else we should know before considering you for this program?

6 Top Earner s Club VIP Private Coaching Day Our personal guidance and 100% focus, specific and only for you The VIP Private Coaching Day is available for the fast tracker who prefers to work one-on-one and have exclusive VIP attention. This is an opportunity to experience an entire day of intensive, private, inperson (or via Skype, or phone) laser coaching together. You bring yourself to a private location in Florida or at the location of your choice (air transportation and accommodations to be supplied) and we will apply our track record of success and vision to YOUR business for a full day. We re going to map out and PLAN your Six to Seven Figure Business Model. You ll get: 1 VIP Private Coaching Day with Ray and Jessica. Includes 100% of our focused attention on you and your business. We ll review your website, evaluate the current state of your business, listen to your vision for the coming year and then offer OUR VISION of what we see is possible for you. PLUS, we ll guide you & give you the steps to reach that vision. 1 Private one-on-one 50-minute pre-call A fun & intimate lunch together The investment in a private VIP day of coaching is $20,000. And, during this event, we are offering up to four clients the opportunity to secure one of these private VIP days with us. You can pay in full or secure your VIP Day with a $4,000 deposit. The Balance is due 30 days prior to your scheduled day. Your VIP Day must be used within 6 months of this event. We will contact you within 10 days of the event to schedule your VIP Private Day. Please see our team to register and to confirm your spot.

7 Top Earner s Club PLATINUM / DIAMOND (circle one) Mastermind Choose Your PLATINUM Payment Plan: Option 1: Secure my spot via a $500 deposit today, and $2,997 is due on or no later than July 24 th, Then divide the remainder of my Mastermind balance due into 11 equal monthly payments of $1,091, beginning August 15 th, 2014 and continuing through June 15 th, Option 2: I intend to pay for the year in full upfront at $13,000 and save $1,500 (plus receive the extra gift.) If you select this option, secure your spot with a check made out to Forever Wealth Club. Choose your DIAMOND Payment Plan (checks or wire ONLY, if you need to use a credit card please consult with ourselves or our team for payment options) Option 1: Secure my spot via a $1,000 deposit today, and $8,000 is due on or no later than July 24 th, Then divide the remainder of my Mastermind balance due into 11 equal monthly payments of $4,909, beginning August 15 th, 2013 and continuing through June 15 th, Option 2: I intend to pay for the year in full upfront at $49,000 and save $5,000 (plus receive the extra gift.) If you select this option, secure your spot with a check made out to Forever Wealth Club.

8 Thank you very much for submitting your application. We will personally review it, and will contact you within 4 business days via or phone to let you know if you are approved. If you are approved, we will process your deposit or payment in full for the amount indicated above, and we ll send you all the details for your 2014 Top Earner s Club Platinum or Diamond Mastermind membership. * I am aware that there is a Non-refundable deposit to secure my spot (unless application is denied). Initials

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