Use The Form Below To Submit Your Request To Become "Qualified." Here's Your Sponsor's Contact Information...


(your sponsor is)

William "Terry" Russell
terryrussell@positivebusinessman.com
1-888-676-5057 or 1-289-632-7774



MEMBER "QUALIFICATION" FORM
Questions marked by * are required.
1. Date: *
2. First Name: *
3. Last Name: *
4. Email: *
5. Phone Number: *
6. "Qualifier's" Full Name: *
7. "Qualifier's" Email Address: *
8. "Qualifier's" Phone Number: *
9. Any Additional Information:
 

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