DRBUTTAR Email Marketing -

This form is for TAP™ Warriors who wish to participate in one or more of the 12 opportunities. Please fill this form completely so you can be directed to the right individual to further assist you in taking advantage of these highly unique opportunities. Note: There is NO requirement to pursue any opportunity. So please, complete this form ONLY if you have serious interest.

First Name*

Last Name*

Email (primarily contact method).*

Mobile Phone *

Which country do you live in?

If you live in the US, which state do you live in?

Select all that apply. Then indicate desired amounts in each opportunity. Sum of all individual parts should equal the TOTAL. If sum of individual parts does NOT equal TOTAL entered, your form will be eliminated (due to lack of seriousness). So it is critically important you follow these instructions. Failure to follow these instructions may result in your missing the window to participate in a specific opportunity which may be time sensitive.

If 1B selected, indicate specific amount.

If 1C selected, indicate specific amount.

If 2B selected, indicate specific amount.

If 2C selected, indicate specific amount.

If 3B selected, indicate specific amount.

If 3C selected, indicate specific amount.

If 4A selected, indicate specific amount.

If 4B selected, indicate specific amount.

If 4C selected, indicate specific amount.

TOTAL (should equal all amounts entered)

Once this information has been processed, the appropriate individual(s) will reach out to you from the respective opportunities to help you complete this process. 3A, 3C, 4B and 4C are time sensitive (less than 2 weeks). 2B, 2C, 3B and 4A are 30 to 60 days out. 1B and 1C are 90 days out. And 1A is about a year to 2 years out.