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Work with me application
I will contact you by the form you choose on this application
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* Indicates required question
What is your name?
*
Your answer
Are you 18 years of age or older?
*
Yes
No
What country are you in?
*
USA
United Kingdom
Poland
Ireland
Canada
Spain
Lithuania
Australia
None of these
Other:
Are you currently employed?
*
Yes
No
How much money do you want to make a month?
*
$100
$300
$500
$1,000
Sky is the limit
Other:
How much of an investment can you make?
*
$199
$220
$349
$599
$799
Are you coachable?
*
Yes
No
Are you ready for personal development, stepping out of your comfort zone, and being your own boss?
*
Yes
No
Tell me 3 things about yourself
*
Your answer
What can an extra income do for you?
*
Your answer
What is your Instagram handle?
*
Your answer
What is your telephone number?
*
Your answer
Preferred way of contact?
*
Instagram
Phone/text
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