**SAMPLE** APPLICATION FORM ONLY - YOUR DETAILS CAN'T BE SUBMITTED.
You can only visit a live application form if you purchase one.

~ Sample Only ~

NEXT STEP: Submit Your PRO Application
& Get Immediate Access to Your Bonuses

Answer these questions as accurately and honestly as
possible. We want to know the real YOU!

IMPORTANT: We are seeking qualified entrepreneurs and take this process very seriously. If based on your answers you do NOT qualify, your application will be rejected.

(* Denotes Required Field)

Name*:
Email*:
Day Phone*:	Cell/Mobile
Eve Phone*:	Cell/Mobile
Skype:	(Optional - great for International applicants)
Best Time*:	Though we may not call at that time.
Time Zone*:

*Q1. Age?

*Q2. Gender?

*Q3. Do you understand the importance of learning the secrets of success from successful people?

*Q4. What do you currently do for a living?

*Q5. What kind of MONTHLY income are you currently accustomed to?
per month.

*Q6. Are you a home owner?

*Q7. What interests or hobbies do you have that you would like to have more time and money to enjoy?

*Q8. What is your MONTHLY income GOAL for the next 6 months?
per month.

*Q9. How would your life change if you meet this monthly income goal?

*Q10. Can you devote at least 7 hours a week to training, personal and professional development?

*Q11. How much startup capital are you willing put towards building your business and reaching your goals?

Please listen to this audio msg BEFORE answering.

*Q12. What are some of your greatest strengths and why should we consider you over any other applicants?

*Q13. I understand that many entrepreneurs in free-enterprise fail and I am prepared to persevere and do whatever it takes to achieve personal success with your system.

*Q14. If my application is accepted and I join your marketing group, I promise to act with integrity, fulfill my obligations, keep my word, and take full responsibility for my personal success and business.

Now IMAGINE that you are one of my 100 millionaires...
What does your new "millionaire" life look like?

*Q15. Where would you live: the city, beach, mountains? What city, state, country?

*Q16. What does an average day look like, what would you do?

*Q17. Who would you help: family members, spouse, friends, charities?

*Q18. Finally... How did you first find us?

NEXT STEP: Submit Your PRO Application & Get Immediate Access to Your Bonuses

Answer these questions as accurately and honestly as possible. We want to know the real YOU!

NEXT STEP: Submit Your PRO Application
& Get Immediate Access to Your Bonuses

Answer these questions as accurately and honestly as
possible. We want to know the real YOU!