Psychology of PersuasionTM Licensee APPLICATION FORM

First and Last Name:

Email Address:

Telephone:

Street #1:

Street #2:

City:

State:

ZIP/POSTAL:

Country:

The Program Includes:

• Kevin Hogan on video delivering the program. (You can use it word for word if you choose!)
• 24 page seminar manual you will give your participants
• Step-by-step instructions for delivering the seminar, “live in person” or by tele-class
• How to get hired for professional speaking and training opportunities
• The ad and proposal Kevin used to build an empire 
• 70-page Facilitator’s Handbook
• Renewable license to deliver the Psychology of Persuasion! program with no royalty fees — an annual flat fee of $4995 covers all the extra benefits below and is waived for the first year
• Discount pricing on copies of the Psychology of Persuasion! book 
• Permission to use the trademarked Psychology of Persuasion! name and logo on your web site, business card, and marketing materials
• Elite directory listing on the Psychology of Persuasion! web site
• Tele-forums to help you be more successful in marketing and delivering the program
• Announcements for your programs in the Coffee with Kevin Hogan! newsletter reaching thousands of subscribers
• Free and instant upgrades to the Facilitator’s Handbook
• Free teleconference bridge time for your first tele-seminar or teleconference!

I am applying for:

Kevin Hogan’s Psychology of Persuasion^TM Licensee Program. $9995

When you check this box, you agree to pay $9995 billed to your credit card. The total of $9995 will be billed in 3 charges of $3331.66 each, over 3 consecutive months. You may provide more than one credit card for these 3 charges. If you would like, provide additional credit card information in the “Special Instructions” Section below.

You will receive the Psychology of Persuasion^TM Licensee Kit as described. Please allow 10-14 days for delivery.

Kevin Hogan’s Psychology of Persuasion^TM Licensee Program. $877 X 12 payments

When you check this box, you agree to pay $877 in 12 monthly installments beginning today and subsequently on the 15th of each of the following 11 months.

You will receive the Psychology of Persuasion^TM Licensee Kit as described. Please allow 10-14 days for delivery.

Please fill out completely!

Check which boxes are most likely to apply to you. This will help us help you be successful.

Which of the following are you most likely to perform with your license during the first year? You can check as many as you think might apply.

Deliver it as a seminar to small companies, adult education or community ed/colleges

Deliver it as a coaching session one on one

Deliver it as a teleseminar to professionals and entrepreneurs

Deliver it is a teleseminar(s) as part of a current coaching or consulting system/practice

Deliver it as a keynote speech for conferences and conventions

Deliver it as a breakout session for conferences and conventions

Other

(Please write your comments here)

Other:

Will you have a website that we can link to so that we can send referrals your way? If so, please type it below.

Your Website URL:

How did you hear about the program? If you were referred by someone, please enter their name here. If you were not referred by an individual, please type “None”.

I was referred by:

Please read the following statement and check it before typing your name below as your signature.

“I understand that this is a one year renewable license. I understand that after 12 months, an annual fee of $4995 will renew my license. I understand that I do not have to pay royalties to Kevin Hogan on my presentations and delivery of this material under any circumstances. I understand this license extends only to The Psychology of Persuasion seminar and no other book or program that Kevin Hogan offers. I understand that Kevin Hogan is willing to help me via email and training to prepare not only my seminar(s) but to show me in detail the best way to market and promote this material. I understand I will have a written license and authorization signed by Kevin Hogan personally. I understand that Kevin reserves the right to decline my registration for any reason.”

I Agree

Check here if you agree to the terms and conditions of this agreement

Type your name here as your signature

Your Signature:

Payment Method:

We Accept All Major Credit Cards

For Credit Card Orders:

Credit Card Number:

Expiration Date:

Name as it appears on card:

Billing Address listed on your credit card statement (if different from above)?

Special Instructions (Additional Payment Info):

If you’d prefer not to send your credit card number over the internet, you can call our headquarters, 24 hours per day at

(612)616-0732.

Have all of your ordering and credit card information ready to leave on our secure voicemail system. Or fax this form to (952) 443-2293.

Comments/Questions:

You will be sent a confirmation e-mail of your order, along with a receipt with your order details. You understand that Kevin reserves the right to decline your application for any reason.