90 Day Challenge

90 Day Challenge

Get ready to close the generational wealth gap!
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Are You:

student-athleteemployedunemployedself-employedbusiness ownerretired
Personal Challenges:
1. Are you suffering from financial losses as a result of the recent economic downturn?*

YesNo
2. Are you concerned about any of the following?
Too many bills or debts?*

YesNo
Lack of savings or investments for retirement?*

YesNo
Lack of preparation for your kids’ college education?*

YesNo
Not having enough protection in case of disability, long term illness or even death?*

YesNo
3. Do you carry any significant financial responsibilities with growing children or aging parents?*

YesNo
4. Are you concerned about the future of your job or career?*

YesNo
5. Do you feel that financial terms such as investments, insurance, debt, inflation and tax are difficult to understand?*

YesNo
6. If you were to choose, what would you rather have?*

Better RETURN for your moneyBetter SAFETY for your money
7. What is your ideal retirement age?*
8. Do you want to learn how to get your children into a good college with proper funding?*

YesNo
9. Do you want to learn more about how money works and how to build a proper financial future?*

YesNo
10. Are you interested in making more money on a part-time basis?*

YesNo
11. Do you want to explore a new business career in the fast-growing financial industry?*

YesNo
Should be Empty:

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