Let’s start with a few details about you.
Name
*
First Name
Last Name
Business or Organization Name
*
Title / Role
*
How would you like to be identified in The Xchange? (Founder, CEO, Creative Director, Partner, etc.)
Email Address
*
For follow-up and confirmation.
Phone Number (optional)
Sometimes the right connection happens fast. A number helps our team facilitate introductions.
Location (City & State)
This helps us understand your regional network and potential reach.
Tell us briefly what drives your work or mission.
In 1–2 sentences, what impact do you hope to make through what you do?
How did you first learn about The Xchange Matchmaking Program?
*
Visionary Xchange Hosted Event
Personal Invite
Social Media
Other Event
Which Visionary Xchange event connected you to us?
Who personally invited you to join The Xchange?
Which social platform or creator introduced you to The Xchange?
Please Select
Instagram
Facebook
TikTok
LinkedIn
Youtube
Other
If you remember the page, post, or person, let us know.
Please tell us the name of the event.
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Let’s talk about your business.
These questions help us understand what you do best — and how to connect you with people and opportunities that complement your strengths.
What services do you provide?
*
Consulting / Coaching
Marketing / Branding / PR
Media / Content Creation / Influencer Marketing
Entertainment / Production / Talent Management
Real Estate / Development
Finance / Accounting / Investments
Technology / Software / IT
Health / Wellness / Fitness / Beauty
Legal / Compliance
Nonprofit / Philanthropy / Community Impact
Education / Training / Professional Development
Product-Based Business / Retail / E-Commerce
Sports / Athlete Development / Sports Management
Hospitality / Events / Tourism
Select the primary services or solutions your business offers. (Choose all that apply.)
Who is your ideal client or partner?
*
Entrepreneurs / Small Business Owners
Established Companies / Corporate Teams
Nonprofits / Foundations / Community Organizations
Government / Public Sector Clients
Investors / High-Net-Worth Individuals
Creative Professionals / Artists / Influencers
Athletes / Entertainers / Talent Agencies
Media Networks / Production Companies
Consumers / General Public
Industry Peers / B2B Partnerships
Which types of clients or organizations align most closely with your work? (Select the best fit.)
Which industries or professions are your top 3–5 sources of referrals?
*
Real Estate
Financial Services / Wealth Management
Legal / Compliance
Healthcare / Wellness / Beauty
Education / Training
Marketing / PR / Branding
Media / Entertainment / Production
Consulting / Coaching
Technology / Innovation
Creative Arts / Influencer / Talent
Government / Public Sector
Faith-Based / Nonprofit
Hospitality / Events / Tourism
Sports / Athlete Development
Where do most of your trusted referrals or collaborations come from? (Select all that apply.)
What types of businesses would you actively refer clients to?
Marketing / Branding / Web
Financial / Wealth / Accounting
Real Estate / Development
Legal / Compliance
Health / Wellness / Fitness
Coaching / Personal Development
Event / Entertainment / Production
Technology / Digital Services
Nonprofit / Philanthropy / Community
Media / Influencer / PR / Talent
Sports / Lifestyle / Hospitality
When your clients need a service beyond your own, what kinds of businesses do you confidently recommend? (Select all that apply.)
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Let’s talk about the connections you’re looking to make.
Your responses will help us identify the best introductions for you — people and organizations that align with your goals, values, and areas of growth.
What are your top priorities for participating in The Xchange?
*
Find new clients or customers
Meet potential business partners or collaborators
Connect with investors or sponsors
Expand professional network or visibility
Explore joint ventures or strategic alliances
Connect with media, influencers, or brand representatives
Build community or philanthropic partnerships
Discover mentors or advisors
Learn from other industry leaders
Select up to three goals that best describe what you hope to gain through this experience.
What type of connection would be most valuable to you right now?
*
Please Select
A potential client or customer
A potential investor or funding partner
A strategic collaborator or joint-venture partner
A referral source or cross-promotional partner
A media or influencer contact
A service provider who complements my business
Choose the one that best fits your current focus.
Describe your ideal Xchange match.
In a few words, what kind of person, brand, or organization would be a game-changer for your goals this year? Example: “A marketing partner with experience in luxury events,” or “An investor focused on women-led wellness ventures.”
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Almost done. Let’s confirm the best way to reach you.
Your contact details will only be used by The Xchange team to share introductions, updates, and post-event opportunities.
Preferred Method of Contact
Please Select
Email
Text Message
Phone Call
How do you prefer we contact you for introductions or follow-up?
Consent Checkbox
I understand that The Xchange team may share my business information with potential matches for the purpose of professional connection and collaboration.
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