Business Partner Intake Form

1. Are you looking to start a business that you can work full-time or part-time?*

Full TimePart Time

2. If you were to become a business owner on a part-time basis, approximately how much would you need to earn per month in order to make this worth your time?*

$500 to $1,000$1,000 to $1500$1,500 to $2,000$2,000 to $2,500

3. Approximately how many hours could you commit each week to develop that kind of income?*

4 to 66 to 1010 to 1616 to 24

4. How many months would you work those kind of hours in order to develop that kind of income?*

2 to 44 to 66 to 1010 to 12

5. If we could show you how to develop an income of the amount you selected, working the hours per week that you are committed to, over the course of months that you chose, would you like to receive the information?*

YesNo

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

How would you like to be contacted?*

Once you have completed our Business Partner Intake Form you will receive a 5 minute video to watch via text message to the phone number you have provided.