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Are you really serious about a Home Business

and ready to gain the financial independence

and time freedom you want?

By filling out this form, I can start to learn a little more about you and what you are looking for in both a business and a partnership.

Success in any business does not happen overnight. It requires time, commitment, energy, investment and patience.

I don't know you, or what you want, so I don't want to make assumptions.

After I get your form, I will email and call you.

Relax!

It will not be a sales call. I don't believe in selling anyone about anything. That's no good for anyone.

It will be a simple conversation so we can determine if we can work together!

If you are not open to receiving a phone interview from me, please do not complete the form.

So, with your permission, let's get started!

The Home Biz Quiz

First Name:

Last Name:

Email Address:

Telephone:

Please enter a valid phone number

Mailing Address

City:

State: Zip:

How do you prefer to be contacted:

What interests you most about a business with Mia Bella Gourmet Candles? Please be specific and write as much as you want. The box will expand.

How did you find me?

If you chose "Other" please explain

Did someone Refer You to me?

Are you SERIOUSLY interesting in a home-based business?

What is your interest level, based on current knowledge?

Are you interested in learning how to create multiple income streams that grow with the service of others?

Are you willing to go through a fact finding process to get the many questions you must have by now answered? That means a phone call or email to see what we expect of each other.

Have you ever owned a business?

Are you willing to commit to a system and be coached and trained by those already successful?

What is your primary reason for wanting to work from home? Please be specific.

What is most important to you in a home-based business?

Do you have previous Network Marketing experience?

Are you currently involved with a Network Marketing or Direct Sales company?

What is your current occupation and/or company affiliation?

How much would you like to earn in this business per month?

Have you, or do you want to work with leads? These are people whom you have not met, but who have expressed an interest in earning an income from home.

How much time per week are you willing to commit to this business?

This business is based on the fact that millions of people are logging onto the Internet each and every day. A large percentage of them would like to have their own business.

If you were convinced beyond a shadow of a doubt that the products and the financial potential of this business were honestly the opportunity of a lifetime, how much would you be willing to invest in your future?

Thanks, and congratulations for taking the time to invest a few minutes in your future. If we mutually agree this is for you, you will be mentored and trained by the best in the industry for free. People that know how to get results!

By taking these few moments, I promise you that you will have the ability to make a profound difference, not only in your life, but in the lives of many!

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