1. What is you first and last name? *

2. What is your email? *

3. What type of business do you have?

4. What is your company revenue so far this year?

5. How many total sales so far this year? *

6. What is your average sale price? What does your offer, service or product sell for? *

7. What is your monthly income goal? *

8. Tell me about your team or employees? Their titles? 1099 or employees? How many?

9. What opportunities and challenge are you facing in your business currently? *

10. Describe your current business income streams. *

11. How long have you been in business? *

Karen will review your application and we will be in touch as soon as possible. What phone number should she contact you at? *

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