jotform

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

ARE YOU OVER 21 YEARS OF AGE?* This field is required.

YESNO

5

ARE YOU UNDER 68 YEARS OF AGE* This field is required.

YESNO

6

HAVE YOU FILED FOR BANKRUPTCY IN LAST 7 YEARS?* This field is required.

YESNO

7

IS YOUR CREDIT SCORE OVER 630* This field is required.

YESNO

8

HAVE YOU FILED YOUR TAXES FOR 2020 AND 2021?* This field is required.

YESNO

9

DO YOU HAVE A STATE ISSUED I.D. * This field is required.

YESNO

10

IF YOU ANSWER THESE QUESTIONS CORRECTLY AND CAN PROVE IT. WE WILL OFFER YOU $750 A MONTH FOR 15 MINUTES OF WORK.

11

IF YOU ARE INTERESTED LET US KNOW AND WE WILL SEND YOU A LINK TO A VIDEO.

Yes please send info

No I don't want $750 a month for few minutes of work