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Please Select the month you'd like to attend

Questionnair

Validation (If you have not yet submitted this form, please skip this part):

1.
First Name

Last Name:

Day Phone:

Evening Phone:

E-mail:


2.I think I should be accepted because:

3. In my professional life, I have been engaged in:

4. Before this, I was invloved with:

5. I am:



6. If married, do you have any children?

7. How many?

8. How many live at home?

9. My credit score is:

Note: If you dont know your credit score, visit truecredit.com to find out. You need a minimum of 680 beacon score to be successful in this program. This score can be yours or of someone you know and/or trust.

10. What do you plan to do when you become a millionaire?

11. Are you willing to give a minimum 10% of your earnings to those in need?

12. If chosen for this program, are you willing to give 100% of your time to maximize your learning experience (e.g. give up the use of your cell phone and contact to friends and family for 3 days during the seminar)?

13. Describe the home you wish to own in the future:

14. Describe the car you wish to possess in the future:

15. Describe 2 places you'd like to visit in the future: