Lifesuccess Productions, Llc

REGISTRATION FORM Welcome to the Program!

Program Dates: Month, Days, Times • Cost of Program: $xxxx.xx Location: Building Address, 1234 Your Street, Your City, Your Zip

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The Into Your Genius Program Includes:

 6 Teaching CDs, Workbook, Black Leather Zippered Binder

 Instructor coaching for the duration of the program

Based on the groundbreaking findings in Napoleon Hill’s book, Think and Grow Rich, this program reveals six powerful mental faculties that, when applied to your life, minimize the struggle in goal achieving and create new and increasing levels of success.

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Instructor: Consultant Name, Certified Life Mastery Consultant Contact Information • Email • Website