Conversion Doctor Full Day Coaching Session
Priority Application Form

Yes! I want Eric Graham to personally work with me and my team 1 on 1 at my location for an entire day for a FRACTION of what his time is worth!

I understand that if I am one of the 1st 4 (UPDATE: Only 3 spots left) to respond and my application is approved I'm going to get the following:

• An intense full day, 1 on 1 in person coaching session at MY location with Eric Graham.
• 1 pre-visit phone or gotomeeting consultation
• 1 Full Web Site Evaluation
• 4 post-visit phone or gotomeeting consultations
• and so much more...

My Guarantee To You: If at the end of our day together your are not 100% convinced my recommendations will increase your sales and profits, simply ask for a refund on the spot and you'll get it no questions asked.

Claim Your Spot Now!

For my high end coaching, consulting and copywriting services (anything over $2,000) the only payment forms I accept are:

1. Online Check (enter your details below.)
2. Overnight or FedEx Checks. (Send them to the address at the bottom of this page.)
3. Wire Transfers. (Contact me for wire transfer account details.)

Only accepting these types of payments for my high end services does 2 important things...

First, because of expensive merchant account fees for online transactions it saves me money. (The discount rate on a $30,000 copywriting job can be almost $1,000!)

Second, it helps me make sure that my clients can actually AFFORD my services. (If you have to borrow the money to hire me from your credit card, you probably are not ready for my help yet.)

All information included will be kept confidential.

Item/Service	Price
Full Day On Site Consultation - ($5,000.00 Case Study Discount)	$4997

Online Check Billing Information:
Full Name:
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Is This a Business or Personal Checking Account?	Business Personal