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Basic MVP Marketing & Investment Group Customer Enrollment Agreement

Primary Applicant information

* Indicates Required Field Input

First Name *

Middle Ini.

Last Name *

Social Security # *

Date Of Birth *

(mm/dd/yyyy)

Street Address *

Apt/Suite #

City *

State *

Zip Code *

Home Phone # *

Cell Phone #

Work Phone #

Email Address *

Login Information (Online Course)

Username: *
(Usernames must be at least 6 characters and must begin with 2 letters. Usernames may only contain numbers and letters. Username is case sensitive.)
password: *
(Passwords must be at least 6 characters and must contain at least 1 number. Password is case sensitive) Note: You can edit your username and password once your profile is complete
Security Question: What high school did you attend? *

Class Selection(Dates located on www.BasicMVP.com)

Name of 1st class *

Date of 1st class *

Name of 2nd class (optional)

Date of 2nd class (optional)

* Must be at least 14 days prior to the start of the next class.

I UNDERSTAND THE TERMS AND CONDITIONS. PLEASE ENROLL ME IN THE WEALTH BUILDER PACKAGE.

Sponsor IBO Name: *

Sponsor IBO ID #: *

Payment Information (Full)

X	Wealth Builder Online Classes	Cost
	Bronze Wealth Builder Package	$699
	Silver Wealth Builder Package	$899
	Gold Wealth Builder Package	$899
	Platinum Wealth Builder Package	$2,199
	Choose Your Package

Monthly Payment Option
Account will be automatically debited on or around the first of each month based on the payment schedule below. The first payment (Month1) will be debited once the payment is submitted. A $25 fee will be applied to any late payment received after the due date, includes declined charges, and returned checks. Select the Wealth Builder Package, then submit your payment.

Bronze Wealth Builder Package)

Silver Wealth Builder Package

Gold Wealth Builder Package

Platinum Wealth Builder Package

$699.00

$899.00

$899.00

$2,199

Month 1

$399

$599

$599

$1,599

Month 2

$150

$150

$150

$120.00

Month 3

$150

$150

$150

$120.00

Month 4

$120.00

Month 5

$120.00

Month 6

$120.00