4everVernice's Intake Form
4everVernice LLC provides many services for our clients which includes teaching, coaching, and accounting. The goal of these services is to help our clients live healthier and wealthier God's way in body, spirit and soul. Please complete all form fields to start the working relationship with 4everVernice LLC.
Email address *
Your Name: *
Your Email: *
Best Phone Number to Reach You: *
Marital Status: *
Age *
Gender *
Required
Occupation *
Your State/Province: *
What is Your Faith? *
How many of these wealth challenges/success are you having? (check as many as apply) *
Required
How many of these health challenges/success are you having? (check as many as apply) *
Required
What services would you like from 4everVernice? *
Required
How did you hear about 4 Ever Vernice LLC? *
Select Your Desired Starting Date and Time *
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4 Ever Vernice LLC Disclosure Statement
All the services that I provide was created to help you live healthier and wealthier God's Way in your body, spirit and soul. I do not practice as a medical professional, but as a health and wealth minister that provides mentoring, teaching, coaching and consulting services.

Your success, is based on your level of effort. More effort you put forth, the better results you will experience.

Your identity will be kept confidential. I will only release information with your written permission unless you are at risk to yourself or someone else.

To start our working relationship, you will be charged a setup fee of $400.00 to cover the cost of providing services to you. Then I will send you an invoice of additional costs (if applicable). To request an updated price list, please email 4everVernice@gmail.com. To make your payment, visit https://www.paypal.me/4eververnice. There are no refunds, but payments can be transferred to other 4everVernice services.
Client Responsibilities *
Required
Signature *
*
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A copy of your responses will be emailed to the address you provided.
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