Name *

Best Email (double check spelling) *

Skype username

Best Phone number *

Your Referral's Name *

Your Referral's Email & Phone Number *

What country do you live in? *

What are some things that stood out for you in the webinar training you went through? *

How much monthly passive cashflow are you seeking? *

If selected for membership are you interested in becoming a wealth coach and earning additional income or just one of our VIP members and learn how to create income from our education? *

What do you currently do for a living/for income? *

What is your current monthly income? *

What is your FICO credit score? *

Your experience in investing/trading financial markets *

Have you ever generated passive cashflow from trading financial markets before? *

Our goal as an educational platform is to help our members reach financial freedom, whatever that number is for you. Typically to start a decent sized investment portfolio a person would need $50k-$100k to allocate across the various markets we trade in. More often our new members do not have this capital to start. This is why we have incorporated the business credit program to assist our members in raising the capital needed. If selected for membership, are you able to follow your coach step by step to get you to your desired goal? *

If you are selected for membership, are you prepared to invest in yourself right now to reach your financial goals? *

As a private wealth club we have spent decades putting together top traders, vendors and resources for our members. We do not advertise and this is not public knowledge. As a member you will be required to sign a Non Disclosure Agreement to insure our intellectual property is kept private. Would that be a problem? *

Complete the following sentence. I am _________ *