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Your Time Zone: Select One Hawaiian Pacific Mountain Central Eastern Atlantic Other________________ * Best Exact Time: Select One 12:00-1:00am 1:00-2:00am 2:00-3:00am 3:00-4:00am 4:00-5:00am 5:00-6:00am 6:00-7:00am 7:00-8:00am 8:00-9:00am 9:00-10:00am 10:00-11:00am 11:00-12:00pm 12:00-1:00pm 1:00-2:00pm 2:00-3:00pm 3:00-4:00pm 4:00-5:00pm 5:00-6:00pm 6:00-7:00pm 7:00-8:00pm 8:00-9:00pm 9:00-10:00pm 10:00-11:00pm 11:00-12:00am Other________________ * Occupation: Select Entrepreneur Computers/Internet Investor Corporate America Retired Medical Engineer Attorney Customer Service Stay-At-Home Mom Student Teacher Financial Retail Sales Retail Business Owner Marketing Independent Contractor Truck Driver Travel Agent Athletic/Sports Pastor bum___________________ Other Combined Family Income: Select One Up to 25,000 25,000-35,000 35,000-45,000 45,000-55,000 55,000-65,000 65,000-75,000 75,000-85,000 85,000-100,000 100,000+_____ Age: Select Under 18 18 - 22 23 - 30 31 - 54 55 - 65 Over 65____________ must be 18 or over
Best Exact Time: Select One 12:00-1:00am 1:00-2:00am 2:00-3:00am 3:00-4:00am 4:00-5:00am 5:00-6:00am 6:00-7:00am 7:00-8:00am 8:00-9:00am 9:00-10:00am 10:00-11:00am 11:00-12:00pm 12:00-1:00pm 1:00-2:00pm 2:00-3:00pm 3:00-4:00pm 4:00-5:00pm 5:00-6:00pm 6:00-7:00pm 7:00-8:00pm 8:00-9:00pm 9:00-10:00pm 10:00-11:00pm 11:00-12:00am Other________________ * Occupation: Select Entrepreneur Computers/Internet Investor Corporate America Retired Medical Engineer Attorney Customer Service Stay-At-Home Mom Student Teacher Financial Retail Sales Retail Business Owner Marketing Independent Contractor Truck Driver Travel Agent Athletic/Sports Pastor bum___________________ Other Combined Family Income: Select One Up to 25,000 25,000-35,000 35,000-45,000 45,000-55,000 55,000-65,000 65,000-75,000 75,000-85,000 85,000-100,000 100,000+_____ Age: Select Under 18 18 - 22 23 - 30 31 - 54 55 - 65 Over 65____________ must be 18 or over
Occupation: Select Entrepreneur Computers/Internet Investor Corporate America Retired Medical Engineer Attorney Customer Service Stay-At-Home Mom Student Teacher Financial Retail Sales Retail Business Owner Marketing Independent Contractor Truck Driver Travel Agent Athletic/Sports Pastor bum___________________ Other
Combined Family Income: Select One Up to 25,000 25,000-35,000 35,000-45,000 45,000-55,000 55,000-65,000 65,000-75,000 75,000-85,000 85,000-100,000 100,000+_____
Age: Select Under 18 18 - 22 23 - 30 31 - 54 55 - 65 Over 65____________ must be 18 or over
I would like to earn: Select $500+ $1000+ $2000+ $3000+ $4000+ $5000+ $6000+ $7000+ $8000+ $9000+ $10,000+ $100,000+ A Month?
Interest Level: Interest Level Ready to Get Started Very Interested Interested Somewhat Interested Not Really Interested____
Hours willing to work at this Business? Select One None 5-10 hrs. a week 10-20 hrs. a week 30-40 hrs. a week Full Time+
Willing to Invest in this Business? Select One under $50-150 under $150-250 under $250-500 $500+_________
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