First Name

Last Name

Phone *

Email *

Website *

Instagram Handle *

Business Name *

Business Industry *

Brief background (how they started, core expertise) *

What’s your business's mission or purpose? *

What challenges have you overcome as a business owner? *

What do you hope to share with the podcast audience? *

How Long Have you been in business? *

No Longer than a Year

2-5 Years

5+ Years

Is your business your full time job? *

Yes

Why should you be on the show? *

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