FEC Client Intake Form

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How do you prefer to be contacted*

PhoneEmailOther
What services are you interested in*

Business MentorshipFunding / LoansNotary ServicesCredit Building/EducationJoin our Team (Remote Positions Avail)Financial Literacy Bootcamp(Wealth Whiz Academy)Estate Planning( Wills, Trusts, Health Care Directives)Life Insurance PlanningMentorship
What is your MAIN goal right now? ( Check all that apply)*

Improve credit scoreBudgetingSave for a major purchaseReduce debtPlan for retirementEstate PlanningStart or grow a businessLearn finacial literacyStart or restructure a businessBuild long term finacial stabilityProtect my family and assetsOther
What is your biggest financial challenge right now*
How did your hear about us*

ReferralInternet AdEmail AdSocial mediaGoogle SearchOther
Who were you referred by ( please Specify)*
Please visit our website at www.fecassociates.com

Book your 30 Min FREE consultation below

⬇️⬇️⬇️⬇️⬇️
Watch this 1 min video to discover how Financial Empowerment Consulting helps people just like you build strong credit, secure funding, and build a legacy

Transforming Goals Into Financial Success
I understand that Financial Empowerment Consulting provides strategy, education, and guidance —
Should be Empty: