Small Business Package Intake Form

Small Business Package Inquiry Form
Today's Date*

MonthDayYear
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address (we will use this to send you a welcome package and any equipment to be shipped to you!)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about SUP Yoga Center?*

Website / Online SearchYelpFacebookReferralOther
If Referral, please list name
If Other, please let us know
Your Experience
Please tell us about any prior experience with SUP Yoga?*
Please check all that apply for you:*

Yoga Instructor CertificateSUP Yoga Instructor Certificate - OtherSUP Yoga Instructor Certificate - SUP Yoga CenterFirst Aid/CPRI need to get yoga instructor certifiedI need to get SUP Yoga Instructor certifiedI need to get First Aid/CPR certifiedOther
Please feel free to go into more detail
How soon would you like to have your business launched?
What is your current financial situation (check all that apply)?*

I am struggling financiallyI am doing well financially but don't have a lot of extra moneyI am very financially comfortableMy life is abundance and I am prepared to invest in my businessI will need to discuss payment plans
Are you willing to work through any limiting beliefs around money, understanding that money is energy and what we put out directly tells the Universe what we are ready to receive?*

111% YES!I want to get there!
Even though we have all of the tools and tips to help you become successful, it is ultimately up to each business owner to put those into practice to become successful. Are you prepared to put in the hard work and effort it takes to own a small business?*

111% YESI'd like to talk about it and see!
Any other thoughts or questions for us?
Signature*

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Small Business Package Inquiry Form

Your Experience