BRAINBOX ECOM LAB MENTORSHIP FORM

1

ENTER YOUR FULL NAME* This field is required.

First Name

Last Name

2

ENTER AN EMAIL ADDRESS* This field is required.

example@example.com

3

Your current state* This field is required.

4

How long have you been in the ecom game* This field is required.

A total beginener

Started already

5

How much is your working budget with this program* This field is required.students with less than $500 has less chances of getting accepted into the program

less than $500

$500-1500

$1500-3000

$3000 and above

6

Are you in any kind of 9-5 job* This field is required.

Yes

No

7

What's your Goal with dropshipping* This field is required.You and only aim high wen your working budget is high

Less than $5000 monthly

$5000-$10000 monthly

$11000-$25000 monthly

$25000 and above

8

If you eventually get accepted today how soon are you willing to start* This field is required.The earlier the better

Now

This week

Tmr

I'll have to think about it

9

Ask us something* This field is required.

10

You'll be redirected to a page where you can contact us

*note* whatsapp is the best for faster reply rate