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Thank You in advance for giving us an opportunity to help you SAVE! Every month that you pay your essential bills, it supports our mission to help others! WIN-WIN!

SAVE and SUPPORT Survey

If you are and individual, family, business, not-profit or

faith based organization, our SAVE and SUPPORT

program can benefit you and/or your cause!

Who referred you?*

First & Last Name*

Email*

Phone Number*

Address*

City*

State/Province*

Zip/Postal Code*

Impact Health Sharing

Impact Health Sharing is a non-profit, decentralized approach to healthcare. Impact offers Wellness Credits and Invoice Repricing for members and rates are typically 30%-50% less than traditional healthcare. We can provide a Free quote with the following information:

Date of Birth of the oldest person on the policy.

Total number of people on the policy

I currently have an affordable healthcare policy.*

Yes

No

Mobile Services

We partner with Flash Mobile Services which are on the TMobile towers. It is the same great services with 40% Savings!

Who is your current provider?

How many lines do you have?

Would you like to see plan options?*

Yes

No

Security & Automation

We partner with Vivint Home Security because they offer 24//7 monitoring and smart home automation. We get their best rates with NO Activation or Installation charges PLUS exclusive incentives. Can we connect you with our Vivint contact for a free quote*

Yes

No

If you are already a Vivint customer, is your equipment paid off?

Yes

No

Gas & Electricity

We can help you save on your energy bill depending on which state you live in. (available only in deregulated states)

We are able to offer great coverage with Xoom Energy, please choose your state to see what you can save.

NOTE: Please have your most recent utility bill ready.

Small Business Services

Our Small Business Services can help save thousands of dollars on monthly fees. Which small business services can help you save on?*

Health Care

Payment Processing

Payroll & HR Solutions

Business Internet

Gas & Electricity

Security & Auromation

Who do you know that we should be talking with?

Thank You!

We appreciate your support so very much!

We will contact you regarding your SAVE and SUPPORT survey.

You may also contact us directly if you need assistance immediately.

sylvia@serenitysway.com | 720-298-9683

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