*About YOU*
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PLEASE COMPLETE THIS ONE INSTEAD: https://tally.so/r/wLZz2J

Thanks so much for connecting with me. I can't wait to get to know you (and your business) better.

[time estimate: 15 minutes]
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Email *
First Name *
Last Name *
Preferred name
Mobile *
Which state do you live in? *
Which country do you live in?
Tell me about YOU... what do you like, dislike? Any hobbies?
What is your birthday?
If you end up joining us, we would love to celebrate your special day with you! Totally optional to provide, but if you do, please note the form is American so it wants it in MM DD YYYY format.
MM
/
DD
/
YYYY
Do you run a business? *
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This form was created inside of The Real Thiel.