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6
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1
Name
First Name
Last Name
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2
E-mail
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3
Phone Number
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Contact
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4
How much capital do you have to invest?
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$0-$5,000
$15000-$25,000
$5000-$15,000
$25000-$35,000
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5
What makes you a good fit for this mentorship?
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6
How soon are you looking to start?
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Next Week
1 month
2-4 months
6 months+
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