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Application for 5AYC P2M2AC Group
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Vietnam
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5
Applying for Single or Couple Position
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Single application
Couple application
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6
Only 50 positions are available for the 5AYC (Address YOUR Cancer, Conflict, Closure, Cause, Consciousness) P2M2C Group. The selected individuals will work directly with Dr. Buttar and interact with each other over the next year. Explain why you feel you should be selected to be in this private exclusive group?
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7
Please choose 1 of the 5 reasons why you want to join the 5AYC P2M2C Group
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- I want the BEST option to grow healthier as I grow maturer
- I believe Dr. Buttar will be able to provide me with the best and most effective options available
- I believe my health is the most important investment I will ever make and am committed to doing everything necessary to accomplish the best outcome possible
- I am curious and want to see what this program is about
- I am not interested in really joining
- I want the BEST option to grow healthier as I grow maturer
- I believe Dr. Buttar will be able to provide me with the best and most effective options available
- I believe my health is the most important investment I will ever make and am committed to doing everything necessary to accomplish the best outcome possible
- I am curious and want to see what this program is about
- I am not interested in really joining
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8
If there was a true and proven written plan, with over 20 years of clinical proof and a success rate of 87.6% in reducing symptoms in 6 months or less, regardless of the underlying disease, desired goal or outcome, what would that detailed Medical Manifesto be worth to you? What would you be willing to pay for something this powerful to help you regain your health, extend your life and most importantly, improve the quality of your life? What is YOUR life worth to you?
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More than a MILLION
$1,000,000,00
$500,000.00
$100,000.00
$50,000.00
$10,000.00
$5,000.00
$1,000.00
$500.00
Other
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9
Select the option that best fits you
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(If we were to ask your best friend, how would they describe you)
Once I have the knowledge and am pointed in the right direction, I am a machine and follow through on everything. I would consider myself as an optimistic action taker
I am pretty good at follow through but only regarding the things I am convinced about. I have to first be convinced. I would consider myself to be a pessimistic action taker
I need to know and understand everything before I make a decision to move forward. I am NOT a control freak but I have been called that before. I would consider myself to be a guarded optimist
I know most of the info out there and know what I want. I hold back because I don't want to be taken advantage off or make a mistake. I would consider myself to be intelligently cautious.
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10
What level of impact do the following have on YOUR health goals and your overall ability to achieve those goals?
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Please only select 1 option per row
Big Problem
An Issue
Not An Issue
Advantage
Blessing
Time
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Money
Mobility
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Spouse
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Blessing
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11
Upload Video File
There are many people who want to join one of Dr. Buttar's P2M2C Groups. Although this step is not required, most of the people accepted into the AGE P2M2C Group submitted a short video expressing their desire to join. Simply record a video no longer than 90 seconds, explaining why you feel you are a good candidate for the AGE P2M2C group.
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