Breakout Session - Application Form

Please fill in the below information for an application for a Breakout Session.

This is an application process as we need to ensure that you are a good fit for this session and this education.

As such, if you would like to access this Breakout Session and the associated education for free, please fill in the form below as accurately as you can.

We will then review your application and respond within 24-48 hours as to if you have been accepted for approval and if so, what the next steps are.

Please put in as much detail below as possible, the more detail you provide the better we can prepare in order to make the most of the time with you.

If you have any questions please email us at [email protected]

Thanks and speak soon!

First Name *

Last Name *

Business Name (if Applicable)

Email *

Phone *

City *

If you were referred, who were you referred by?

What Country are you living in? *

What Country are you a national of? *

What is your main reason for considering investing in digital assets? For example: fast profits, increase wealth, short term gains, long term investment *

Tell us briefly where you are up to with cryptocurrency investing. Hint: Have you started, how long have you been involved, if started what have your results been like *

If you have started on your crypto journey, do you own any cryptocurrency now? If so, what coins/tokens do you own? For example: Bitcoin and Ethereum *

Do you consider yourself to be a conservative investor or can you afford to make higher risk / higher reward investments? *

Conservative (lower risk)

Balanced (medium risk)

Aggressive (higher risk)

Are you a technical user on the computer / web? For example can you set up your own online software accounts and configuration, or do you typically need some help? *

Yes, I am technically proficient

No, I typically need help

I'm probably average

How much time are you looking to invest into learning and self-managing your digital asset investments? *

More than 20 hours per week.

5-20 hours per week.

Maybe up to 5 hours per week.

I'm quite a busy person. Less than 1-2 hours per week is ideal.

None unless I really have to!

What UPFRONT starting amount are you considering investing into digital assets (in your chosen currency)? *

Less than $1,000

$1,000 - $5,000

$5,000 - $10,000

$10,000 - $20,000

$20,000 - $50,000

$50,000+

I'm not sure yet

What ONGOING amount would you be comfortable contributing to your digital asset portfolio (in your chosen currency)? eg $200 / month *

Less than $200 / month

$200-$500 / month

$500-$1,000 / month

More than $1,000 / month

I'm not sure yet

When are you looking to get started investing in Digital Assets *

ASAP - I'm good to go now!

Within the next 1-3 months

Within the next 6 months

Within the next 12 months

In the next couple of years

I'm not sure yet

If you knew you could start making money right away, when would you be looking to get started investing in your digital asset portfolio?

ASAP - I'm good to go now!

Within the next 1-3 months

Within the next 6 months

Within the next 12 months

In the next couple of years

What investment vehicle would you be looking to use, eg: Personal, Self Managed Super Fund (SMSF), Company or Trust? Please list each if you want to invest with multiple vehicles. *

Assuming we can start generating you passive income within your first month of investing, what percentage of the profits would you be looking to re-invest to grow your portfolio, as opposed to cashing out to spend on something else? This can be changed at a later time if required. *

Re-invest 100% - I'm looking to grow my portfolio and cash out longer term

Cash-out 100% - I want to create another income stream right away

Re-invest 75%, cash-out 25%

Re-invest 50%, cash-out 50%

Re-invest 25%, cash-out 75%

Being honest with yourself: What do you think is stopping you from hitting your financial target already? *

Are you serious about investing in your education and future success? *

What 3 or more things would you like to know in order to maximise the value of this session and help you make a commitment to your digital wealth future? *

Are you willing to respect our time and energy and come to your session on time? *