Name *

First Name

Last Name

Phone *

(###)

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Did someone refer you? If so, who?

First Name

Last Name

Do you have any of the following (check all that apply): *

Bookkeeper

Accountant

Controller

Tax firm that prepares your taxes

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 ANY SPECIFIC RESULTS BY JOE HAMGERI, LLC. *

YES

NO

I UNDERSTAND THAT IN ORDER TO GET RESULTS, I MUST BE OPEN TO EXPERT FINANCIAL GUIDANCE AND TAKE ACTION. *

YES

NO