Application 1 – Dr Rouse Now

Complete and submit this Application to Schedule Your Call for

Faster Financial Independence with SHORT WINDOW RETIREMENT PLANNING

Application 1

Name *

First

Last *

Last

Email Address *

Phone Number *

Primary

Alt. Phone

Secondary

Please Note: Dr Rouse will personally review your Application on your scheduled call AND that Dr Rouse will NOT do the call without this completed application.

Mailing Address *

Mailing Address

Street Address

Apartment/Building/Suite #

City

State/Province

Zip/Postal

Country

1. Detail What you want to do when you're financially independent and or in retirement: *

Be specific about what you want to do.

2. How much money do you NEED EACH YEAR, on an ANNUAL BASIS to do the things you want to do. *

This is without cutting back your lifestyle

3. When do you want to be financially independent and or retire: *

...and do the things you detailed in your answer #1 above

4. What has prevented you from reaching your financial independence/retirement goals to date?

Please detail WHAT specifically has held you back from reaching YOUR retirement goals so far.

5. WHY should we let you in the program? *

Please detail WHY you feel we should let you in

6. Please list anything else you want us to know when we consider your application:

7. I understand this in order for my application to be considered I NEED to complete the checkboxes below and Schedule My Call after I Submit (the button below the checkboxes) this application. Type "YES" and then continue.

Yes, I understand that the primary reason for meeting with Dr Rouse will be to figure out if there is a fit between my current situation and what he offers. It is therefore not a free coaching session but neither is it some sort of sales trap.

YES. I Understand that I CAN NOT BUY ANYTHING ON THE CALL.

I confirm that if Dr Rouse and I agree that working together is a good idea, I'm ready to start in the next few weeks (otherwise it's best to book a chat when you are ready to start).

I am aware that Dr Rouse's program is priced at $6,000, or 2 investments of $3,000 for 2 months and I confirm that should we agree that Faster Financial Planning with Short Window Retirement Planning® is a fit for my needs and I'm accepted into the program, I can afford the minimum fee of $3,000 for 2 months. Type YES in the box: I am aware that Dr Rouse's program is priced at $6,000, or 2 investments of $3,000 for 2 months and I confirm that should we agree that Faster Financial Planning with Short Window Retirement Planning® is a fit for my needs and I'm accepted into the program, I can afford the minimum fee of $3,000 for 2 months. Type YES in the box:

I understand that for my application will not be considered without a call.I understand that for my application will not be considered without a call.

To SCHEDULE YOUR CALL, CLICK THE SUBMIT BUTTON to access Dr. Rouse's personal calendar.

If you are human, leave this field blank.

Click the Submit button to submit your application.

You will be taken to Dr Fred's personal calendar where you can schedule your call.

Dr Rouse will personally review your application and discuss it with you on your scheduled call.

You understand that you can NOT buy anything on the call.

The call is simply to discuss your situation to see if you and Dr Rouse both think this will be a good fit for the both of you.