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Are you interested in working from home?
 
Yes
 
No
 
 
 
What is your age bracket?
 
18 to 29
 
30 to 39
 
40 to 49
 
50 to 59
 
60 or over
 
 
 
How would you prefer to be contacted?
 
Email
 
Phone
 
Text / SMS
 
Mail
 
Personal Contact
 
 
Contact Information
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Phone : 
* Email Address : 
 
 
 
What time suits you to be contacted?
 
AM
 
PM
 
Anytime
 
Not applicable
 
 
 
Region:
 
Western Australia
 
Northern Territory
 
Queensland
 
South Australia
 
Victoria
 
New South Wales
 
Tasmina
 
ACT
 
Other
 
 
 
Are you looking for full time or part time work?
 
Yes
 
No
 
Maybe
 
 
 
What is your ideal dollar figure monthly?
 
0 to $500
 
$500 to $1,000
 
$1,000 to $2,000
 
$2,000 to $10,000
 
$10,000 and above
 
 
 
How much could you invest into your business?
 
0 to $500
 
$500 to $1,000
 
$1,000 to $2,000
 
$2,000 to $4,000
 
$5,000 to $8,000
 
$8,000 and above
 
 
 
Have you owned a business before?
 
Yes
 
No
 
Only specific people are selected to join our multi-million dollar company. It may be 'you'. "The only difference between a rich person and a poor person is how they use their time" - Robert Kiyosaki
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