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Is This For You?
To find out if you’re qualified to join Team Northrup, answer the questions below. While this isn’t meant to be an intense exercise, please take your time and be honest with yourself about your strengths and interests.
Please check all that apply:
Do you consider vibrant financial and physical health a priority?
Do you care about helping other people improve their health and well-being?
Do you desire to cultivate your leadership potential?
Do you enjoy connecting with and inspiring other people?
Have you ever asked yourself where you want to be 5 years from now? Are you actively taking steps to get there?
Are you interested in learning how the Law of Attraction can help you create the life of your dreams?
Are you willing to take 100 percent responsibility for your life and your success, understanding that the outer circumstances of your life at any given time are a perfect reflection of what you really believe right now?
Are you willing to change the actions and beliefs that no longer serve you?
Are you willing to step out of your comfort zone in order to reach your full potential?
Are you willing to commit five hours a week to realizing your potential?
Are you willing to invest $600 to $1400 towards your financial freedom?
If you answered “yes, I agree” to six or more of the questions on this qualifying questionnaire and are serious about starting your own business, please fill in the application below and one of our leaders will contact you. If you have further questions, please contact Joëlle Lydon at 518-595-4747 or
click here
to send an email.
Name
*
First
Last
Email
*
Company Name
Address
Street Address
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone
*
Phone (Evening)
Fax
Best time to be reached by phone
How did you hear about us? (Team Northrup team member's name if applicable)
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