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* 1. Hi this is David. In order to receive free coaching from me, I ask that you fill out this application truthfully. Please confirm the following:

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* 2. Please explain your current hardship and how you/your business/your family have been impacted. Describe how you think I might help.

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* 3. By filling in your information and submitting this form you declare that your answers to the above statements are truthful and understand that I will prioritize those individuals whom I feel I can help the most. If approved, I will reach out to you with more details. 

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