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* 1.  Are you suffering from financial losses as result of recent ecomonic downturn?

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* 2. Are you concerned about any of the following?( Please select all that apply)

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* 3. Do you support children, aging parents or other dependents?

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* 4. Are you concerned about the future of your job or career?

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* 5. Do you feel that financial concepts involving investments, insurance, debt, inflation, and tax are confusing?

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* 6. Which would you rather have?

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* 7. What is your crurrent age?

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* 8. What is your ideal retirement age?

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* 9. Do you want to learn how to get your children into a good college with proper funding?

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* 10. Do you wanna to learn more about how money works and how to build a stronger financial foundation?

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* 11. Are you interested in making more money on a part-time basis?

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* 12. Do you want to explore a new business career in the fast-growing financial industry?

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* 13. Please enter your contact information so that we can forward it to the person who invited you to send you thank you card.

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* 14. Please provide the name of the person who invited you.

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* 15. Would you be interested

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