You have a book in you.

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

What's the primary reason you want to write your book? (Choose two)

Note: Knowing the “why” for your book will help us tailor the process to make it work for you. There is no wrong answer here. This question is meant to help you clarify your goal.

Create revenue for myself as a speaker

Create or promote my business

Build a platform to speak

Become a bestselling author

To serve people and get my message out

Other (please specify)

Are you willing to commit (as available) to spending an hour each month for a year with Tim, Sangram, and book publishing industry experts to help you go from an idea to a published book?

Yes

No

When do you want to publish your book?

Note: Once you commit to a timeline, we will surround you with tools, resources and access to people so you will no longer be wondering about the next steps to achieve your goal.

2024/25

2025/26

Later

What’s the number one reason that’s stopped you from writing your book so far? *

Note: Most successful people already have a book in mind but time, resources and access lead them to procrastinate. It's time to say no to excuses.

Time

Lack of resources

Unaware of the process

Access to publishers, editors, and experts

If you’ve already started the writing process, what stage are you looking to get the most help? *

Note: Most people think authoring a book is all about writing. It's much more than that. Only 30% of the work is writing. 30% is finding the right publisher/editor and the last 40% is creating a platform to market the book. At this all-inclusive weekend, and the 10-month coaching, we will teach you everything that bestselling authors already know and do.

Not started but have an idea

Have written the first draft but not a complete manuscript

Need help with writing and publishing

Need help finding an agent/publisher

Need help with marketing my book

If interested, submit the application, and Tim and/or Sangram will do an interview with you to make sure there is a mutual fit, as there are only a handful of spots for this exclusive experience. *

Note: Melissa Dill will email you to schedule an interview time once your application is submitted and reviewed.

Yes, I am very interested and look forward to chatting.

Yes, but I have questions/concerns that I would like to talk through.

No, but I would like to be added to the list for future events.

If selected, I would like to pay by:

Check

PayPal (additional charge applies)

Venmo (additional charge applies)