Application 1 – Dr Rouse Now

Complete and submit this short Application to be considered for enrollment into

The REAL Money Doctor's SHORT WINDOW RETIREMENT PLANNING program

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 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 retire: *

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

4. What has prevented you form reaching your 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:

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 retirement situation and what he offers. It is therefore not a free coaching session but neither is it some sort of sales trap.

YES. I WATCHED THE ENTIRE VIDEO and 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 my application can not be considered without having a call and I NEED TO SCHEDULE MY CALL schedule after submitting this application. Type YES in the box:I am aware that my application can not be considered without having a call and I NEED TO SCHEDULE MY CALL schedule after submitting this application. Type YES in the box:

I am aware that Dr Rouse's program is priced at $5,000, or 2 investments of $2,500 for 2 months and I confirm that should we agree that Short Window Retirement Planning® is a fit for my needs and I'm accepted into the program, I can afford the minimum fee of $2,500 for 2 months. Type YES in the box: I am aware that Dr Rouse's program is priced at $5,000, or 2 investments of $2,500 for 2 months and I confirm that should we agree that Short Window Retirement Planning® is a fit for my needs and I'm accepted into the program, I can afford the minimum fee of $2,500 for 2 months. Type YES in the box:

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.