Sacramento Business Coach                             FAX this form to (916) 536-0500


I meet new clients over lunch. You bring a check for my $100.00 consulting fee and you buy lunch. If at the end of lunch, you don't think you've gotten your money's worth, I'll give you your check back. (You still buy lunch!)

Why can't you call me? Once you are a client, you'll get my cell phone number. Until then there is no free advice. This is a business relationship.

FAX this form to (916) 536-0500 and I will call to schedule an appointment for lunch.


Your Name: _____________________________________________________________

Phone Number(s): ________________________________________________________

Best Time to Call: ________________________________________________________



Business Name: __________________________________________________________

New Business Existing Business

WebSite : www.__________________________________________________________



Main Product or Service: ___________________________________________________

Main Competitor: _________________________________________________________



What was your occupation five years ago? ______________________________________

What is your age? 20-30 30-40 40-50 50-60 over 60




I try to schedule lunch for 11:45 AM Please choose a restaurant:

Biba Carvers Esquire Grill Il Fornaio Piatti

(other) ________________________________________