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* 1. What is your full name? 

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* 2. What is your phone number?

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* 3. What is your email? 

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* 4. Are you apart of the Academy www.UrbanCEOAcademy.com?

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* 5. What is the business you want funding and/or mentorship for? 

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* 6. Ms Avant is going to be doing a live training on this Sunday eve at 8PM EST. Are you available to join? 

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* 7. If you won $500 what will you use the money for?

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* 8. Do you have your ticket for the Urban CEO conference

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