FUNCTIONAL MEDIA, LLC
White Label Partnership Program
Foreign Agencies
I. Basic Information
First Name
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Last Name
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Agency / Business Name
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Website
*
Social Media Handles
*
Email
*
II. Agency Details
What services does your agency provide? (Select all that apply)
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Done-for-you marketing & content
Social media management
Email marketing & automation
Paid advertising & media buying
Website design & development
Funnel building & sales pages
Branding & graphic design
SEO & organic traffic
Business consulting & strategy
Other (specify below)
If 'other' please specify:
How many clients do you currently serve?
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Under 10
10-50
50-200
200+
Who are your typical clients?
III. Intended Use & Licensing
Which Functional Media products are you interested in licensing?
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Content Bank (1 year of the membership's content)
Gut Vault
Hormone Vault
All 3
How do you plan to use the licensed content?
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Include in your programs
Bundle with services
Use as resources for your clients/students
Other (please specify)
Will the content be:
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Translation only
Rebranding only
Both
Neither
IV. Partnership Fit
Why do you want to partner with Functional Media?
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Have you previously licensed or white-labeled content for clients? If yes, briefly describe.
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Are you willing to adhere to licensing agreements and brand guidelines?
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Yes
No
Which investment range are you comfortable with for licensing and implementation of this program?
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Less than $5,000
$5,000–$15,000
$15,000–$35,000
$35,000–$50,000
$50,000+
(Select the range that best reflects your current budget.)
Anything else you’d like us to know to assess fit?
*
Submit Application
