By filling out this form, I can start to learn a little more about you and
what you are looking for in both a business and a partnership.
 
Success in any business does not happen overnight. It requires time,
commitment, energy, investment and patience.
 
I don't know you, or what you want, so I don't want to make assumptions.
 
After I get your form, I will email and/or call you. 
 
Relax!
 
It will not be a sales call. I don't believe in selling anyone about anything. That's no good for anyone. 
 
It will be a simple conversation so we can determine if we can work together!
  
So, with your permission, let's get started!  

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* Required Fields

Name*:

Address*:

City*:

State*:

Zip*:

Country*:

Phone*:

E-mail*:

How do you Prefer to be Contacted?

What interests you most about a business with Mia Bella's Gourmet Candles?
Please be specific and write as much as you want. The box will expand.

How Did You Find Us?

Referred By?

Are you seriously interested in a home based business?

What is your interest level, based on current knowledge?

Are you interested in learning how to create multiple
income streams that grow with the service of others?

Are you willing to go through a fact finding process
to get the many questions you must have by now answered?
That means a phone call or e-mail  to see what we expect of each other.

Have you ever owned a business?

What is your primary reason for wanting to work from home?
Please be specific. The box will take as much information as you want to include.

What is most important to you in a home business?

Do you have previous Network Marketing Experience?

Are you currently involved with a Network Marketing company?

Current Occupation or Company Affiliation?

What is your monthly income goal?

Have you, or do you want to work with leads? These are people whom you have not met, but who have expressed an interest in earning an income from home.

How much time would you be willing to commit each week?

If you were convinced beyond a shadow of a doubt that the products and the financial potential of this business were honestly the opportunity of a lifetime, how much would you be willing to invest in your future? 

Thanks, and congratulations for taking the time to invest a few minutes in your future. If we mutually agree
this is for you, you will be mentored and trained by the best in the industry for free.
People that know how to get results!
 
By taking these few moments, I promise you that you will have the ability to make
a profound difference in the lives of many!

Any Comments or Questions?

Would you be interested in a CD presentation about
the products and this exciting business opportunity!

I will generally e-mail you first, and then set up a time for us to talk. You will be given all of the information you want to know on the company, our products and services and our team and its support.
 
I look forward to speaking with you and assure you that you will love what you see!
  
The ScentHaven Team is seriously committed to helping you create wealth and accomplish your goals. Our time is valuable, as we know yours is. By using the submit button, you are telling us you are interested in knowing more about putting our system to work for you and hearing from us.
 
Be assured we will not share, sell or divulge your personal information to anyone!

Thank you for your time in answering our questions.