Bucket List Unlimited Entrepreneur — Exclusive Client Application
Prospective clients of Bucket List Unlimited should complete this application to assess fit, current business stage, needs, and readiness.
Personal & Business Basics
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Best Phone Number to Reach You
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Name
*
Website URL
Primary Social Media Handle
Tell Me About Your Business
*
Where You Are Right Now
Author Status
*
Please Select
I haven’t written a book yet
I’m writing my first book
I’ve published my first book
I’ve published multiple books
Business Stage
*
Please Select
Idea/just starting
Side hustle
Full-time but under target income
Established and growing
Current Support Structure
*
Please Select
No support / I do everything myself
Occasional contractor or VA
Part-time team
Full-time team
Top Three Things You Want Off Your Plate
*
Your Biggest Bottleneck
*
What You Want & Services
What brought you here?
*
Services you need most
*
Book strategy / planning
Writing / ghostwriting support
Publishing support
Marketing / launch strategy
Ongoing business/operations support
Other
Your six-month vision
*
What’s held you back?
*
Fit & Financial Readiness
Current Revenue Status
*
Please Select
I’m pre-revenue
Under $50k/year
$50k–$100k/year
$100k–$250k/year
$250k+/year
Investment Readiness
*
Please Select
I’m not ready to invest right now
I’m exploring and not sure yet
I’m ready to invest if it’s the right fit
I’m ready to move forward now
Preferred Investment Option
*
Please Select
Lower-tier / starter level
Mid-tier
Premium / high-touch
Your Timeline
*
Please Select
Immediately / within 30 days
Within 3 months
Within 6 months
More than 6 months out
Anything Else I Should Know?
Submit Application
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