MILLIONAIRE MIND$ : Podcast Guest Form
Name
*
First Name
Last Name
Company Name
*
Social Handles
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Are you a minority owned business?
*
Yes!
No
How long have you been in business?
*
1 year or less
2-5 years
5-15 years
15+ years
Interview Availability
*
How did you hear about us?
*
I’m a listener
Referred by someone
Social Media
How can Millionaire Minds help your business?
*
Tell us what you do
*
Share something interesting that people might not know about you
*
What makes your business stand out?
*
Are you comfortable being recorded?
Yes!
No,I am not
Please verify that you are human
*
Submit
Should be Empty: