Form
Smith Powerhouse
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Who is your closest upline Agency Owner
I am committed to making the most of this opportunity.
Let's goooooooooo!!!!
I'm excited
More nervous than excited
IDK
I understand that to make the most of this, I will need to invest $1000 in leads the week BEFORE and THE WEEK OF the Powerhouse
Not a problem
I have over a month to figure it out
I will have to work a plan with my upline mentor
I can't see a path to do that. I want to but I don't see it.
On a 0-10 scale how excited are you?
There is a major importance on keeping the vibes high. We are all on one team. As part of this there will be no alcohol. Can you commit to this?
Yes
Signature
Continue
Continue
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