New York City NY Inquiry

1
What should we call you?* This field is required.First name last name, please...
First Name
Last Name
2
Best contact email?* This field is required.You will have to verify this email, FYI.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
3
What's your mobile phone number* This field is required.No fax numbers, please.
Please enter a valid phone number.
4
What do you do? * This field is required.Please share your industry and what you do for them, one sentence will suffice.
5
Select which option best describes you* This field is required.This is for your BUSINESS -- not your personal income
Please Select
Please Select
I make less than $10k/mo
I do between $10k and $30k/mo
I do between $30k and $50k/mo
I'm over $50k but under $1M/year
$1M per year+
6
Do you have the means to pay* $10k USD for this event? * This field is required.*WITHOUT it hurting your finances significantly...
YESNO
7
What excites you the most?* This field is required.We have each of the following topics lined up -- please select your TOP 2
How to sell my products from stage
Ways to communicate better in general
Getting books on stages & podcasts
Learning how to prepare content for myself
8
If accepted, would you stay an extra few days to enjoy the city?* This field is required.We ask because we may put together activities if enough people are interested
YESNO
9
When were you born?
Date
Month
Day
Year
Should be Empty: