BASIX ApplicationIf you are ready to take action in your business, answer these questions to see if you are the right fit. Name * First Name Last Name Phone * (###) ### #### Email * How long have you been following Joe Hamgeri Co.? * less than a week less than a month less than 6 months over 6 months How'd you hear about us? * Facebook Facebook Ad Facebook Live Instagram YouTube Ad I'm a current/past client Joe Hamgeri Co. website Other Did someone refer you? If so, who? First Name Last Name Business Name Business Website * http:// What does your business sell? * Who does your business sell to? * What's the price range? * Rate your overall business skills (1 being lowest, 5 being highest). * 1 2 3 4 5 What is your current monthly revenue? * Less than $1,000 per month $1,000 - $5,000 per month $5,000 - $10,000 per month $10,000 - $20,000 per month $20,000 - $50,000 per month $50,000 or more What is your target monthly profit? * Less than $1,000 per month $1,000 - $5,000 per month $5,000 - $10,000 per month $10,000 - $20,000 per month $20,000 - $50,000 per month $50,000 or more What are the biggest problems you are facing in your business that are stopping you from hitting your target monthly profit? (The more you tell us, the more we can help you.) * What made you apply today? * Why is now the best time to take action? * I AM FULLY PREPARED TO INVEST IN MYSELF AND IN MY BUSINESS. * YES NO I UNDERSTAND THE TRAINING & MATERIALS I WILL RECEIVE IN BASIX ARE FOR INFORMATIONAL PURPOSES ONLY AND NOT FOR THE PURPOSE OF PROVIDING LEGAL OR TAX ADVICE. * YES NO I UNDERSTAND THAT ALL SALES ARE FINAL, WHICH MEANS NO REFUNDS AND I AM GUARANTEED ABSOLUTELY NOTHING BY JOE HAMGERI, LLC. * YES NO I UNDERSTAND THAT IN ORDER TO GET RESULTS, I MUST WORK HARD AND SMART AND TAKE ACTION. I KNOW THAT I WILL FAIL BEFORE I SUCCEED BECAUSE THAT'S WHAT SUCCESS TAKES. * YES NO Thank you! In a moment you’ll be directed to the payment page.