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Please Complete This Form in Full to Join My Business Book Launch Partnership Program. Thank You!

Contact Information

Full Name *

Business Name *

Office Phone

Cell Phone *

Your Email *

Street Address*

City *

State/Province *

Postal Code *

Business Website *

Questionnaire

Do you plan to promote on all of your social media outlets?

YesNo

Do you plan to promote with a solo-email?

YesNo

Do you plan to promote on your newsletter?

Other ways you plan to promote the book (podcast/radio interview, group interview, etc).

Do you plan on posting a positive 5 Star Amazon review once the book is launched?

YesNo

Please give me a personal testimonial/endorsement of how I’ve supported your success and/or made it easy to become more successful. This endorsement will be used for your personal promotional banner.

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