The intention of the phone consultation is to determine whether you qualify to
attend the 2 week Educo™ seminar. We have a limited number of spaces and we
must be absolutely sure that the attendees are people of the highest ideals,
who are motivated by the desire to leave behind all limitations and achieve
their full potential as a human being.
It is also an opportunity for you to ask as many questions as you have to
find out if we are suitable for you. The consultation will last approximately
15-30 minutes.
Please provide the following information:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
Who referred you to the EDUCO™ system ...?
Would you like to schedule a time for a free phone consultation ... ?
Yes
No
Would you like to attend the 2 week seminar ... ?
Yes
No
I am willing to take 2 weeks out of my life to attend this program... ?
Yes
No
What do you think holds you back in life ... ?
What do you feel your purpose for being on this Earth is... ?
By filling out this questionnaire, you have just taken one more important step towards a new you, a new life and a new world!