Are you ready to experience lasting change in your life or in the life of a loved one?
refinedsilverokc@gmail.com

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Are you ready to experience lasting change in your life or in the life of a loved one?
Please complete the application below to begin your journey.
Application
  • Contact Information
  • Job / Insurance
  • Questionnaire
  • Additional Information
  • Summary

Contact Information

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Last Name
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Responsible Party Information

First Name
Last Name
Address
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Building/Apartment/Suite #
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Start changing lives today!

Refined SilverSharing Life Changing Resources with those struggling from Afflictions to recover a Future and a Hope.

P.O. Box 1640, Edmond
OK 73083

help@refinedsilver.com