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Cryptlantis Member Application Form
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16
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1
Full Name
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First Name
Last Name
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2
How old are you?
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3
What country do you live in?
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Australia/New Zealand
United Kingdom
United States/Canada
Other - Europe
Other - The Americas
Australia/New Zealand
United Kingdom
United States/Canada
Other - Europe
Other - The Americas
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4
Email Address
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example@example.com
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5
Instagram Handle (@)
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6
Which best describes you?
*
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I am a complete beginner who is looking for mentorship
I have some experience with Crypto but I need mentorship
I am well versed in Crypto but need mentorship to take my investments to the next level
I have made lots of money in Crypto but want to join a community
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7
What is your current situation regarding Crypto? Have you started investing? What problems/struggles have you faced?
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On a scale of 1-10, How important is transforming your life and achieving your goals with Crypto Investing?
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8
On a scale of 1-10, how important is transforming your life with Crypto Investing?
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How much are you going to Invest into Crypto?
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9
Why should we pick your application over others?
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Other Words: Why do you feel like you'd like to join our Private Crypto Group right now?
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10
Which best describes your current financial situation?
*
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This is a bit personal but must be answered so we can know our students a lot more clealier.
I am currently earning between £0 - £100 p/w
I am currently earning over £100 p/w
I am currently earning over £500 p/w
I am currently earning over £1000 p/w
I am currently earning over £2500 p/w
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11
How much are you going to invest into Crypto?
*
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Select option below
£0-500
£500-$1,000
£1,000-£1,500
£2,000-£5000
£5000+
£0-500
£500-$1,000
£1,000-£1,500
£2,000-£5000
£5000+
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12
Cryptlantis is a Private Group and will never be FREE. Do you understand this?
*
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YES
NO
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13
If you are not willing to invest £49.99 p/m into yourself and future, please DO NOT continue this application as we are only looking for serious students only.
*
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You MUST MESSAGE @cryptlantis on INSTAGRAM - Saying "Applied" so we can find you in our submission list
Yes, I understand
No, I don't want to invest in myself
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14
You MUST MESSAGE @cryptlantiss on INSTAGRAM - Saying "Applied" so we can find you in our submission list
*
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Yes, I will
No, I won't
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15
⚠️ You MUST be following: @cryptlantiss & @kanefernxndo on INSTAGRAM so we can reach out! ⚠️
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⚠️ Please be Aware of Fake Accounts *THERE ARE TONS* our only real accounts are @cryptlantiss & @kanefernxndo. THAT IS IT ⚠️ MAKE SURE YOU FOLLOW US TOO*
Yes, I will
No, I don't want to join
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16
⚠️ Please be aware of fake accounts *THERE ARE TONS* our only real accounts are @cryptlantiss & @kanefernxndo. THAT IS IT MAKE SURE YOU FOLLOW BOTH ACCOUNTS*
*
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Yes, I am aware!
No, I am not aware
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