Let’s Get Started To See If You Have What It Takes!

Name *

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Address *

Best Contact Email Address *

Mobile Phone Number *

Business Name *

Length of Time in Business: *

Business Structure: *

Product/Service: (Please describe in detail) *

Do you have a Customer List:? (Y/N) *

What is your average yearly gross sales? *

What are your expectations for your product/service going forward? (Please go into detail) *

What is your vision for this entity in the next 3-5 years? *

Have you received any Media exposure *

If yes to the question above, what Media Exposure have you had

Do you have investors? *

If yes to the question above, what percentage of the business do the investor(s) own?

Do you plan to sell the business? *

If yes to the question above, what is your timeframe for the sale?

Are you open to talking with any potential investors that may come as a result of being a Guest on “Make Your Pitch” Podcast? *

Full Name & Date of Application *

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