First Name *

Last Name *

Email *

What is your biggest takeaway from the Plan Of Action video? *

Do you have any further questions that you would like your Advisor to clarify further during the planning session? *

Which Partnership option are you considering? *

Option 1 - $10,000 (50/50 Profit Split)

Option 2 - $20,000 (70/30 Profit Split)

Why are you considering this option? *

Will you be needing any financial assistance to help you get started? *

Yes

No

Possibly

Would you like your Advisor to go over all resources and financial options available to you on the call including options that can be used for working capital? *

Yes

Not Necessary

Is there anything that is still concerning you or holding you back? *

Do you feel ready to start your Ecom business? *

Yes

No

Why do you believe starting with this system is the best path for you? *

How Committed Are You To Starting This? *

Do you plan on Attending the Planning session with your Advisor? *

Yes

No

If No, why not?