Official WGW Author Application

1

Company name* This field is required.

2

Website* This field is required.

3

Have you ever publlished a book?* This field is required.

Yes

No

4

How did you learn about us?* This field is required.

5

If you were referred, would you share their name so we can thank them?* This field is required.

6

Why are you drawn to become one of the 25 authors in Women Gone Wild?* This field is required.

7

Do you have a social following or community that you'd like to share this book with?* This field is required.

Yes

No

8

What is your Instagram Handle?* This field is required.ie. @rhondaswan

9

The theme for this edition of the Woman Gone Wild book is leadership. How has this theme shown up in your life? How are you currently expressing your leadership in the world?* This field is required.

10

Would you want to be a speaker for the Women Gone Wild event?* This field is required.

Yes

No

11

If selected as an author, participating in the Woman Gone Wild book will require an investment as PR services, editors, and promotional assets require associated fees. Are you willing to make an investment in yourself?* This field is required.

Yes

No

12

What is your current yearly revenue?* This field is required.

Less than $100k

$100k - $250k

$250k - $500k

$500k - $1 million

$1 million +

13

Please reconfirm your full name.* This field is required.

14

Email* This field is required.

example@example.com

15

Phone number* This field is required.

Country Code

Area Code

Phone Number