Business-in-a-Box Application Form

Business-in-a-Box

Application
Please be sure all information is accurate.

Be honest and transparent so we can help.

If selected, you will be sent a link for a deposit.

Deposit is $2000 and non-refundable. Once your deposit is made you will be redirected to a link to book your initial 90-minute session.

Your other payments are due:

Payment 1: Following the kick-off call

Payment 2: 30 days after the kick-off call

Payment 3: 30 days later

There is a waitlist and we do only take 2 businesses per month for this specialty service.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Phone No*
Email *
Where the confirmation will be send to
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Monthly revenue*
II. Business Information
Optional Informations

Information regarding gender, ethnic origin and race are optional, but they do give us some insight into your business and what your business is facing as far as easy access to resources.
Business Name*
Business Description:*
Year Business Started
Filing Status*
Does your business fall into any of these categories?

Woman ownedPOC ownedNative American ownedLGBT+ ownedVeteran ownedRural business
III. Web presence
Do you have a website?*

YesNo
LinkedIn link
Facebook link
Instagram link
IV. Business workflow information
Do you use a CRM?*

YesNo
If so, which platform?
Do you use a project management system?*

YesNo
If so, which platform?
VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature

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Business-in-a-Box

I. Personal Data

II. Business Information

III. Web presence

IV. Business workflow information

VIII. Applicant's E-Signature