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Name*
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Email*
Phone
Home address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about Justin?*
Tell me about yourself*
What do you do for a living?*
If Justin teaches you everything he knows about investing and helps you achieve your financial goals, what needs to happen 1-3 years from now for you to feel satisfied with your progress?*
Describe your past experience with money and investing?*
Are you either an accredited investor or qualified purchaser?*
How much do you invest each year?*
What is your annual income?*
What is your net worth?*
How much do you currently have in all of your investments broken down by asset class (stocks, bonds, cash equivalents, real estate, private equity, etc.)?*
How much capital do you have available to invest now?*
Assuming Justin either works with you or helps you find some amazing investment opportunities that provide cash flow, passive income, and other benefits, what do you believe is the maximum amount you could find or access to invest?*
What are the specific things you want to have Justin help you with?*
Why haven’t you achieved these goals/dreams yet?*
Are there some business or investment opportunities you wish you could take advantage of but can’t for some reason? If so what are they?*
What unique abilities and strengths are you coming to the table with? (Justin wants to work with individuals that he can plug into his network who have unique or special skills and abilities)*

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