Name *

First Name

Last Name

Phone *

(###)

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If you were able to achieve your 6 month goal, would you be willing (and able) to invest in getting the help necessary to get there? *

Yes, I have the cashflow to invest in myself.

Yes, I may or may not have the cashflow but I am resourceful and/or have access to credit.

No, I do not have the cashflow to invest in myself.

I understand this meeting has been taken out of Adam's schedule, and I will respect his time by showing up for our call. I understand the commitment, and will not cancel or no-show. *

I understand and agree