Platinum Mastermind Application Form

First Name

Surname

Company

Mobile Phone

Home Phone

Street Address

Town/Suburb

Postcode

Screening Questions

My biggest motivator for joining the Platinum Mastermind coaching and mentoring program at this time in my life is:

If I'm accepted, the reason I am absolutely committed to succeeding in this program right now is:

If I had to focus on just 2 things with this program, they would include:

The farming-based products that I am currently producing and marketing include (e.g. Sheep, Cattle, Crops, etc):

The number of full-time employees I currently have is:

Right now, the annual business income is approximately:

Right now, my business bank account balance is:

At the start of July, the total business debt (fixed and overdraft) is approximately:

Right now, the total personal debt (including credit cards) is:

Right now, I estimate the market value of all properties, plant, livestock and investments that I own is:

I believe my fastest route to financial independence in the next five years is for me to:

If I’m going to be financially wealthy, the first thing I have to START doing RIGHT NOW is:

If I’m going to be financially wealthy, the first thing I have to STOP doing RIGHT NOW is:

Please share any other reasons you feel you should be part of this program:

Nearly There...

You are almost there, just one final step!

If your application is approved, and to secure your place in our next Platinum Mastermind intake, the next step will be to process your deposit.

This payment will act as a deposit in the interim but will also cover you for your first month in the program once you commence.

By submitting this application, you understand that your card will NOT be charged unless your application is successful and you have been notified by a Farm Owners Academy team member to expect the payment. This is a secure form.

Just a reminder, for your peace of mind, the Platinum Mastermind Program comes with a 3-month guarantee period, in which either party may terminate the agreement without penalty. Once you officially commence in the program, should you decide within the first three months that the Platinum Mastermind Program is not right for you, or you cannot identify the value, we will happily refund you your money.

Your Credit Card Details

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CLICK HERE TO SUBMIT APPLICATION FORM