Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Phone Number *

Country

(###)

###

####

Are you sharing finances with a partner/significant other/spouse? *

Yes

No

Do you have a working monthly budget? *

Yes

No

Do you save money on a regular basis? *

Yes

No

Are you currently contributing to retirement? *

Yes

No

Do you have any forms of debt? *

If so, check all that apply

Student Loans

Credit Cards

Auto Loans

Medical Debts

Personal Loans

Other

When clients share wins with me or ask questions based on their financial experiences, I will sometimes anonymously post these messages and/or comments on social media and create content based on said wins/questions. You will ALWAYS remain anonymous. Your confidentiality will be protected by blocking out your name, social media handle, and any identifying information within the message. Check the box below if you're comfortable with this. *

That's okay with me!

The Wealth Building Bootcamp™ is a 4-figure investment with pay in full or monthly payment options available. If necessary, I am also happy to discuss extended payment plans as well. Which option sounds best to you? *

$1,147 Paid In Full

3 Monthly Payments of $405 per month

6 Monthly Payments of $214 per month

Are you interested in the VIP package? The VIP upgrade ($497) adds four 1:1 sessions with Charlotte for extra support & accountability (limited spots available)

Yes! I would like to upgrade to the VIP package (if space is available)

No, thank you!!