Full Name
*
Personal Mobile Phone
*
Email
*
Organization
Website
Address
*
City
*
State
*
Postal code
*
Country
Country
Please describe what your business does
*
Who is your target audience?
*
What was your approximate gross business revenue for last year? (Please note this and the entire application is completely CONFIDENTIAL.)
What do you want to accomplish in the next 3, 6, & 12 months?
*
What is your current MONTHLY marketing budget?
*
Please let us know what you are CURRENTLY spending on advertising and marketing each month.
Approximately how many people do you have in your database? (Names, email, phone numbers, etc.)
What is the approximate number of your total followers across ALL social media channels?
Anything else we should know when considering you for this program?
Dated
Signature
Clear
Acknowledgement
I understand that by signing this application I am capable of paying for the retainer and consulting fee with Celebrity Lifestyle Brands and it will not adversely impact my financial situation by doing so.
Captcha