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First Name
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Last Name
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Email
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Phone
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Do You Have An Existing Entity?
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Yes
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Do You Plan on Applying For Business Credit or Loans Within The Next 12 Months?
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No
Have You Secured A Business Address For Funding Purposes?
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If No,
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Do you have a Spouse?
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Do You have Children Between The Ages of 7-22?
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Have you watched the video about forming an entity?
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Do You Plan To Have Employees?
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Yes
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If Yes, How Much Per Month?
Do You Currently Have Health Insurance? If Yes, Employer Sponsored or Individual?
Do You Currently Have Health Insurance? If Yes, Employer Sponsored or Individual?
Employer Sponsored
Individual
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