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Women's Financial Initiative

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Full Name: *

DOB: *

Phone Number: *

E-mail: *

What are your financial goals for the next 5-10 years? (select all that apply) *

• Build My Credit
• Open A Business
• Buy A Home
• Accrue Money In Savings
• Build My Investment Portfolio
• Become More Financially Literate

With your membership you receive a Free 15 min. Financial Consultation, how soon would you like to get started? *

• Within 1 week
• Within next 2 weeks
• Next month

How Did You Hear About Us? *

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