Test - Redemption Service Website Form

Step 1 of 2

Instructions: Application Submission – Part 1
This is a 2-part (2-page) Application Submission process. This page is part 1 of the application submission. Enter your details below. Then press the Submit Application – Part 1 button at the bottom page below these form fields. You will be redirected to part 2 (next page) of the Application Submission where you will repeat this same step for that page, as well. This is essential to your Membership being approved.

Name(Required)

First Last

Email(Required)

Phone Number(Required)

How long have you known of The Redemption Service?

Who referred you to us? If you were not personally referred to us by someone how did you discover The Redemption Service?

How long have you known about this subject matter?

Have you done ANY of the following:

Ever sought info like ours from elsewhere?

If you've sought info, please describe what, from whom and when:

And how did that turn our for you? Please describe:

Ever undergone any type WORK with anyone else?

If so, please describe what, from whom, and when:

Please describe:

What's your primary reason for potentially wanting to join the "Private Membership" with The Redemption Service?

What other objectives and outcomes do you desire from gaining "Private Membership" with The Redemption Service?

Where do you feel you need the most IMMEDIATE help TODAY?

Instructions: Application Submission – Part 2
This page is part 2 of the Application Submission process. Enter your details below. Then press the Submit Application – Part 2 button at the bottom page below these form fields. You will be redirected to Step 5 (next page) of the Application Submission process, your last and final step where you will then download the Application for Membership printable pdf form. Follow the instructions on it, complete it and mail it in to us. Do you have a sense of awareness of how your reality is often influenced by family members, friends, coworkers, neighbors, how they both serve and undermine you, yet you perceive that it is the core of your inner patterns of perception that ultimately guide your actions and your non actions, and do you perceive that you are presently far beyond such mode of socially influenced decision making upon you by others of your inner circle?

Do you have a sense of awareness of how your reality is often influenced by family members, friends, coworkers, neighbors, how they both serve and undermine you?(Required)

Yet do you perceive that it is the core of your inner patterns of perception that ultimately guide your actions and your non actions?(Required)

Do you perceive that you are presently far beyond such mode of socially influenced decision making upon you by others of your inner circle?(Required)

Are you ready to take action and be freed from limitations that have held you back in the past from truly having the life of personal liberties and legal-lawful (and financial) empowerment that you most want to be living and having today?(Required)

If you answered "No" to any of the questions above, please add a few words here to explain that response:

Are you prepared to invest time, money and energy into making this significant transformation to your life and to get the outcomes you want for yourself (and those around you) as you've indicated above?(Required)

Do you currently own/run your own business (or are you a partner in a business you own/run)?(Required)

If you answered "Yes" above, please describe your business. If you answered "No" above, please describe your occupation, what you do?(Required)

Why would you be the PERFECT candidate to join our private membership and be contacted by us?(Required)

Finally, Is There Anything Else You Want To Tell Us That May Assist in Your Application Being Successful?(Required)

What is the best time during the day to reach you (indicate your time zone please)?(Required)

City, State(Required)

Phone Number(Required)

Email(Required)

Test - Redemption Service Website Form

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