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First, tell us about yourself
First Name*
Last Name*
Phone*
Email*
Company Name*

Why does your business need this software? (Pick all that apply)*
- Marketing and advertising
- Customer retention
- Our business is growing quickly
- Customer tracking and organization

How quickly do you need this up and running?*
- No rush
- The trial period should be enough time for me to get this going
- Please help me get this up and running NOW!

What is your monthly budget for marketing?*
- I have no money for marketing
- Less than $500
- $500-$1,000
- $1,000-$2,500
- $2,500-$5,000
- $5,000+

How many employees do you have?*
- I have no employees
- 1-5
- 6-10
- 11-20
- 20+

Does your business need a website?*
- Yes
- No

Who is your target customer?*
- Business
- Consumer
- Business & Consumer

Which platforms do you currently use to market your business (select all that apply)?*
- Google
- FaceBook
- TikTok
- Instagram
- LinkedIn
- YouTube

Interested in working with Kevin Harrington (Original shark from Shark tank) to help grow your business?*
- Yes
- No
How would you like to work with Kevin Harrington (Original shark from Shark tank) to help grow your business?*
- I want a strategic partnership
- I want a strategic mentorship
- I want Kevin on my board of advisors
- I want Kevin to help with my marketing strategy

Address or Business Address*
Street Address City State Zip Code

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