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Are you ready to gain the financial independence and the 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.

After I get your form, I will e-mail and call you. It will not be a sales call. I don't believe in selling anything to anyone. That's no good for either of us. It will be a simple conversation so we can determine if we can work together!

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

First Name:
Last Name:
Email Address:
Telephone #:
Mailing Address:
City:	State:
Zipcode:
How do you prefer to be contacted: Preferred Phone Number: Best Time to Call: Preferred Instant Messaging ID: MSN Instant Messenger Yahoo! Instant Messenger What interests you most about a business with Mia Bella Gourmet Candles? Please be specific. How did you find me? If you chose "Other" please explain: Did someone Refer You to me? Are you seriously interested 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? Are you willing to go through a fact finding process to get all your questions answered? That means a phone call or email to see what we expect of each other. Have you ever owned a business? 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? Part of his 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! Comments?