Financial Control Qualification

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Special Event Qualification Survey

We occasionally organize Special Events with limited seating, where we need to pre-qualify those who wish to attend to make sure the event is a good fit for them. Please fill the questionnaire below.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Housing Situation *

I Rent I Own a Home I Own a Home and a Cottage I Own multiple Houses (Rental Properties)

Real Estate Financing *

My Home(s) is(are) paid off I Have a Mortgage I have a Mortgage and a Home Equity Line of Credit I Have Multiple Mortgages on my Home I Have multiple Mortgages on Multiple Houses

Marital Status *

Single Married Living together with a Partner (more than 6 months) Separated Divorced

What is your age group? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Over 60 Over 70

Income Source for You *

I am Employed I own my Own Business I am a Shareholder in a Business with one Partner I am a Shareholder in a Business with several Partners I Receive Passive Recurring Income I am Retired

Income Source for your Spouse/ Partner *

Employed Owns Business Shareholder in Business with one Partner Shareholder in Business with multiple Partners Receives Passive Recurring Income Retired

What is your Total Household Income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Greater than $200,000

How did you hear about this site? *

Internet Search Advertisement Friend Other

If Other please specify: *

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