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Profile Information
First Name
Middle Initial
Last Name
Physical Address
Mailing Address
Telephone Number
Fax Number
Email Address

Investment History
	I have an in-depth experience with the purchase of non-performing notes
	I have modest experience with the purchase of non-performing notes
	I have never had any experience with the purchase of non-performing notes
	I have purchased Investment Real Estate

My investment strategy can best be described as:
	I am a passive, long term hold Investor
	I am a moderately active Investor
	I am an active investor
	I am a very active, aggressive investor
	I am not an Investor, I am just gathering information

Future Investment plans:
	I plan on purchasing non-performing notes immediately
	I plan on purchasing non-performing notes within a year
	I have no plans to purchase non-performing notes

I heard about notediscounters.com through:
	Search engine
	Website banner advertisement
	Print advertisement
	Radio Advertisement
	Word of mouth
	Other

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