Thank you for requesting more information. We are excited about the opportunity to share more about our company, our exceptional products and our incredible Pacesetter Club support team. To help us understand a little better exactly what you are looking for please take a minute to complete and submit our information return form below. In exchange for completing this form we are happy to provide you with our Free Report which will provide you with valuable information in your search for a way to work from home and reach your goals.

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Please select a Country	- CHOOSE ONE - United States Canada Australia United Kingdom New Zealand Hong Kong Japan Taiwan Korea
Tell us a Little about yourself.  Choose as many options as apply to you:	I am interested in health and wellness I would like to have more quality time for     myself and my family I have a deep desire to make some     positive changes in my life I have worked at a business from home     before I would like to be part of a team and     help others succeed as well I am coachable and willing to learn
What is your monthly income goal?	-- CHOOSE ONE -- $300-$500 $500-$1000 $1000-$2000 $2000-$3000 $3000-$5000 $5000+
How many hours a week can you devote to reaching your goals?	--CHOOSE ONE -- Under 5 hours / week 5-10 hours / week 10 - 20 hours / week
How would you best describe your self-motivation?	--CHOOSE ONE -- Very motivated Somewhat motivated Still investigating
How much can you invest to start?	--CHOOSE ONE -- $100-$250 $250-$500 $500+
What is the best time to call you?	--CHOOSE ONE -- Anytime Morning Afternoon Evening
What time zone are you in?	--CHOOSE ONE -- Pacific Mountain Central Eastern Atlantic
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