Pat Hardy, ENERGIES TRENDS CYCLES
P O Box 20203, Tampa, FL 33622-0203 USA
1-800-711-DOVE FAX 727. 797. 7797
pat@pathardytrends.com
*Please PRINT this form, fill it out then fax
or mail to PAT HARDY.
Accuracy of all data is important.
| Your Name: | Date: |
| Company: | Phone: |
| Owner or Employee? | Position |
| Address: | Email: |
| City/State: | Fax #: |
| County/Zip: | Website: |
|
Your Birthdate and Place |
Time AM/PM |
Please answer the
following questions - add any relevant information
1. What type of Business?
2. Primary Business Focus:
3.Business Objective(s):
Short Term:
Long Term:
4. How did you hear of Pat's work?
5. Any experience with planetary cycles and/or astrology? If so, please describe:
6. Comments or additional Information:
Accuracy of all data is very
important. If you have to ask or look it up, please do so. IF
time is questionable, please indicate the approximate time with a check mark next
to the information.
| Incorporation date: | Time: AM/PM | Place |
| CEO name: | ||
| CEO date of birth: | Time AM/PM | Place |
| Key Personnel: | Time AM/PM | Place |
| Key Personnel: | birthdate: | Co. Position |
| Key Personnel: | birthdate: | Co. Position |
Major Business Benchmarks
| Please list 4-6 major events that have occurred in the business. Doors first opened, key personnel changes, company restructuring, purchase of real estate or office move, increase or decrease in business activity, etc. or anything else that would have a major effect on the business. |
Date, Location, Event, Comment
