1. Full Name (required)
2. Your Main Email (required)
3. What is your Skype ID?
4. What is your best contact number? Please Include Country Code:
5. What is the Name of your business?:
6. What is your business about, what does it do & how does it help people?:
7. What is the Number #1 Challenge you're facing In growing/starting your business?:
8. Are you satisfied with the current level of revenue coming into your business? And why?:
9. Tell us what an Ideal business scenario looks like for yourself, where would you like your career or business to be, and how would you feel when you're there?:
10. How Much Are you willing to Invest to Make This Possible (Please select from the drop-down menu):
---I'm working on it.£2,000 - £4,999£5,000 + (Platinum Applicant)£10,000 +£15,000 +£25,000 +£50,000 + (Diamond Package, very limited space)
11. How would you like your business to impact the lives of you customer base and why?:
12. Fill in the blank, I am ... :
A. An "Excuse Maker" who looks for opportunity but then finds 'reasons' not to take advantage of them.B. A "Procrastinator" who wants to take action but never pulls the trigger until the opportunity is gone.C. An " Action Taker" who sees an opportunity and acts on it quickly
13. If your application is successful, you'll make it through to the second stage which is The Interview - Stage 2. If successful, which London Based restaurant would you like to take the meeting in:
---HakassanThe DorchesterNovikovDuck & WaffleNobuBeach Blanket BabylonHawksmoorSarastroShakazuluOblix at The ShardLet Brussel Pond Decide
14. There is a £750 administrative consultation fee due prior to The Interview if your application is successful. Are you prepared to invest in this?:
Yes, I am serious about getting advice and moving my business forwardNo, I was not aware and I'm not prepared to Invest in myself
15. How did you find out about Brussel Pond Platinum?:
16. Any Additional Comments?
17. How would you Rate your experience with Brussel Pond so far?
Star rating1 stars2 stars3 stars4 stars5 stars
Please Click Below To Submit Your Application