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Delemate Interest Form

Section 1: Client Information

Full Name *

Phone *

Email *

Business Name *

Website / Social Media Links *

Your Industry / Niche

What's your Preferred Communication Style?

Email

Phone

SMS/Text

All

Address

Street Address

City

State

Country

Country

Postal code

Section 2: Package Selection

Which service are you enrolling in? *

Tier One: DELEMATE Fast-Track Intensive (30 Days $6.5K)

Tier Two: DELEMATE Business Freedom Framework (90 Days $10K)

Section 3: Business Snapshot

Current Annual Revenue: *

<$100K

$100K–$250K

$250K–$500K

$500K–$1M

$1M+

Monthly Recurring Revenue (MRR): *

Number of Active Clients / Customers:

Primary Offers/Services:

Average Price Point per Offer: *

Section 4: Team Structure

Current Team Members (check all that apply):

No Team (solo)

Virtual Assistant(s)

OBM/Project Manager

Marketing Team

Sales Team

Biggest Challenge in Team Management:

Section 5: Systems & Operations

What software tools are you currently using? (e.g., CRM, project management, finance, HR)

Rate your confidence in your systems (1 = chaotic, 5 = streamlined):

ChaoticStreamlined

Which areas cause the most inefficiency?

Client Onboarding

Project Delivery

Sales & Marketing

Team Communication

Finance/Tracking

Have you documented any SOPs (Standard Operating Procedures)?

Yes

No

Section 6: Goals & Vision

What is your 90-day revenue goal? *

What is your 12-month revenue goal?

What are your top 3 business priorities right now? *

In one sentence, describe your biggest vision for your company:

Section 7: Bottlenecks & Challenges

What feels like the #1 thing holding you back right now? *

Which of these do you struggle with most? (check all that apply)

Delegating tasks

Team accountability

Eliminating wasted time/expenses

Automating processes

Tracking performance (KPIs)

Scaling beyond current revenue ceiling

Section 8: Investment Readiness

Have you invested in coaching/consulting before? *

Yes

No

If yes, what worked well and what didn’t?

Section 9: Wrap-Up

Is there anything else we should know about your business before we begin?

Program Enrollment Payment *

$ 6500

$ 10000

*100% secure & safe payments*

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company.

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Workforce training and skill development programs designed to boost employee productivity and business success.

Our Phone

(910) 387-1334

We are ready to help your company with

the potential for rapid growth.

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Phone: (910) 387-1334

customerservice@personameantsolutions.com

Fayetteville NC 28301

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