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Health, Wealth and Love Membership Questionnaire

Dear Future Partner in Success:

You are one step closer to being let through the "red rope" to join the mastermind group you have always been searching for!

To begin your journey of discovery in becoming the person you have always dreamed of becoming, fill out the form below. Keep in mind that not everyone can be let past the "red rope"; careful and thoughtful responses are required for consideration.

Health, Wealth and Love!

E-mail Address: *

Name *

Phone Number *

Address *

Who referred you? *

What is the best time slot to contact you between 1PM - 7PM EST? *

Based on what you know right now about the Health, Wealth, & Love! Membership by Trillion Stars, what is your interest level on a scale of 1-10? *

1. What are you looking for that Trillion Stars may provide? *

2. How may we assist you to reach your life goals? Be as clear and specific as possible. *

3. What has you in a position where you are looking for international private banking and investment solutions? *

4. Do you consider yourself an “outside the box” thinker or do you have more of an “inside the box” mindset and lifestyle? *

5. Are you open to learning and expanding your paradigm and supporting knowledge? *

6. Are you open to going to underdeveloped countries with a group of likeminded individuals; working together to: add value to the country, make a difference in the lives of orphaned children and the local population, while at the same time creating a cycle of wealth for yourself and everyone involved? *

7. Which of these statements best suites you? a. “I’ll believe it when I see it.” b. “I’ll see it when I believe it.” *

8. Do you consider yourself wealthy? *

9. Do you have an immediate desire to preserve and grow your wealth? *

10. Does money relax you or make you nervous? *

11. What are your 2010 – 2012 Financial goals? Be as specific as possible, but be careful what you ask for and be ready when it comes true. *


Disclosure: We use this information to organize and expedite your request. We will never sell your name or information to any third parties.

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Health, Wealth and Love Membership Questionnaire