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* 1. Name ( First & Last)

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* 2. Email Address

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* 3. Phone Number

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* 4. Instagram/ Facebook Handle (If applicable) *If not applicable put n/a*

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* 5. Which best describes you right now?

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* 6. What originally caught your attention about MONAT? (Hair/SkinCare, income, community, flexibility, trips, curiosity, etc.)

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* 7. What are you hoping MONAT could help you with?

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* 8. If successful, what would an extra monthly income allow you to do?

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* 9. How much time could you realistically dedicate per week?

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* 10. What questions or concerns do you have about joining MONAT?

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