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CONSTITUENCY LIST
Submit this Form to ADVANCE Your Interests
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Email
*
Your email
Full Name
*
Your answer
Mobile
*
Your answer
LONG LIVE THE KING!
What is your average Monthly Recurring Revenue(mrr) over the past 10 months?
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Your answer
Have You Generated $1,000,000 of Revenue As A Business Owner?
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Yes
Not Yet
~People Helping People
What do you want to achieve?
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Your answer
What's working for you? Where are you getting results in Your Life?
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Your answer
What's not working for you? Do you have destructive habits around you? What is not Serving You?
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Your answer
What do you need to do differently to get the results you want?
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Your answer
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MM
/
DD
/
YYYY
What Generation Wealth Are You?
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1st
2nd
3rd
4+
How old are you?
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Your answer
Are you a PERMANENT RESIDENT of CANADA?
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Yes
No
Do you have Money to Invest into Your Business?
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Yes
No
Which Money Matrix Is Your Reality?
*
Student
9-5
Boss
Poor
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