VIP LIST

First Name *

Last Name *

What Type of Income Do You Have? *

W2 Work For Employees
Self Employed Schedule C
1099 Contractor
Side Hustle
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Phone *

Email *

Are You Interested In A Cash Advance Up to $7,500? *

YES/NO

Yes
No
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Are You Interested in Being A Referral Agent (When the client get paid, you get paid, we get paid, 50/50 split! *

YES/NO

Yes
No
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I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Oh, by the way before I forget, Enjoy Your Free Credit Repair DIY E-book and don't forget your $50 off tax prep voucher and free hotel voucher after you submit the form and receive your email. I will stay in touch!