Charged UP U Application

1
What's your Full Name?* This field is required.
First Name
Last Name
2
What's your Phone Number?* This field is required.
Area Code
Phone Number
3
What's Your Email?
example@example.com
4
What State are you operating in?* This field is required.
5
Define Your Business..* This field is required.
I'm working on my 1st Deal
I do 1-2 Deals a Month
I do 3-5 Deals a Month
I do 5+ Deals a Month
6
Why do you think Charged UP University is the right fit for you?* This field is required.
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7
What's your Income goal for the next 12 months?* This field is required.
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8
What is your motivation to be in this business?* This field is required.
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9
What has stopped you from hitting these goals so far?* This field is required.
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10
Space is very limited for this opportunity and we want to make sure it’s a good fit. Why do you think you would be a good addition to this program? * This field is required.
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11
Are you in a financial position right now to invest in your education & business? * This field is required.
Yes! I know that I need to invest in myself to grow in this business
I will be in the next 1-3 months!
Heck no!!! I'm only interested in free resources/content for now
12
In your current standing, how much of an investment are you prepared to make towards your education & business?* This field is required.
$97-397
$10,000
$5000
$1500
13
Who referred you to Charged Up University ?* This field is required.
14
Have you worked with Chris before or have you heard him teach before?* This field is required.
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