Epic Husband's Experiment Application

1
Name* This field is required.What's your name?
First Name
Last Name
2
Email* This field is required.What's your email address?
example@example.com
3
What's the biggest issue you're experiencing in your relationship right now? (Please be detailed in your response.)* This field is required.
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Ok
Ok
4
What have you tried so far in order to solve the big issue you mentioned above?* This field is required.
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Small
Ok
Ok
5
What is the best result that could happen for you as a result of you participating in the Epic Husband's Experiment?* This field is required.
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Ok
Ok
6
Why are you a great fit for the Epic Husband's Experiment?* This field is required.
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Ok
Ok
7
The cost for the Epic Husband's Experiment is $3,000 (with a discount opportunity available on the next screen).* This field is required.
Yes!
No... I'll keep doing what I'm doing and keep getting the same results.
8
Finally, you have the option to place a $100 refundable deposit for the EHE. If you're accepted, I'll 10x your deposit so you only owe a remaining $2,000 (saving you $900 just for making a $100 deposit today). If you are not accepted or feel this isn't a good fit for you, I'll refund your $100 as soon as your phone call is over.* This field is required.
Yes
No
9
My Products
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Epic Husband's Experiment DepositRefundable deposit for the Epic Husband's Experiment special discount.
$100.00Edit
Back
Total cost $0.00
First Name
Last Name
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