Wine Business Bootcamp Application Form

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The right mastermind group can be one of the most powerful catalysts to growing your influence, impact, and income.

I want to make sure that this program is tailored to match the needs of its members, so please answer the following questions as honestly as possible so we can ensure the right fit.

What is your name? *

What is your phone number? *

What is your email address? *

What is your website and social media? *

Tell me about your family. *

How do you make a living? *

What is your biggest challenge with growing your business right now? *

What is the size of your business? *

Just starting out, Working on my business plan

$0-$10,000 Annual Revenue

$10,000-$50,000 Annual Revenue

$50,000-$100,000 Annual Revenue

$100,000-$500,000 Annual Revenue

$500,000+ Annual Revenue

What are you looking for in a mastermind group? *

If you were a grape, what varietal would you be?? *

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