NEW PARTNER QUALIFYING FORM

First Name: Work Number:
Middle Name: Home Number:
Last Name: Mobile Number:
Occupation: Fax Number:
Years: Months: Email:
Home Address:
Continued:
City,State,Zip:
Country:
Work Address:
Continued:
City,State,Zip:
Country:
Current Investment Objectives
Rate from 1 - 10
Monthly Income:
Appreciation / Equity Growth:
Tax Shelter:
What amount would you like to invest in the next 12 months?:
What percentage would you like to get from this investmentent:
How Did You Hear About Us?
Referral:
Internet Search:
Seminar:
Article:
Other:

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Best Choice Properties, LLC and its affiliates represent that the information provided is true, correct, and accurate to the best of their ability. Any information that is discussed such as prices and projections, are merely estimates. Each person shall be independently responsible for verifying information to be true and accurate. Best Choice Properties, LLC and its affiliates do not assume any liability either expressed or implied for such numbers, estimates or projections.
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