UBA PR & Media Application Form 2024

1

Company Name* This field is required.

2

What product(s) are you interested in?

Featured in a Top Tier Publication Like: Forbes, US Weekly, Maxim, Mens Journal

WILD Mag 📚 Print & Digital

Featured On TV

Become A Published Author

3

How many years have you been in business?* This field is required.

Under a year

1-3 years

3-5 years

5 years +

4

Company Size* This field is required.

01 - 10 employees

11 - 50 employees

51 - 100 employees

100 + employees

6

Referral* This field is required.If you were referred, please share with us their name

7

Tell us briefly about your business, what industry are you in?* This field is required.Please take time to answer as this question will qualify you for this opportunity

8

Please share: What do you estimate your current monthly revenue to be?* This field is required.

$50,000+/mo

Between $25,000 - $50,000/mo

Between $10,000 - $25,000/mo

Less than $10,000/mo

9

Please share: How much do you currently spend on Marketing/PR each month?* This field is required.

My marketing is mostly organic

$1,000 - $5,000

$5,000 - $10,000

$10,000 - $25,000

$25,000+

10

Name* This field is required.

First Name

Last Name

11

Preferred Email* This field is required.

example@example.com

12

WhatsApp Number* This field is required.If you do not have a WhatsApp, kindly input your phone number with its country code.

13

What's your Instagram handle?* This field is required.@yourighandle

14

[REPLACED] WhatsApp NumberIf you don't have a WhatsApp, please put your phone number with its country code.