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Perfect Pitch Intake Form
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* Indicates required question
Email
*
Your email
Contact Name
Your answer
Name of Business
*
Your answer
Business Address (enter personal if no business address)
*
Your answer
City
*
Your answer
Zip
*
Your answer
Section: About the Owner
Phone Number
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
How do you identify?
*
White
Black/African American
Asian
American Indian or Alaska Native
Hispanic - non white
Biracial
Other:
If you answered "other" to any of the demographic questions above, please tell us how you identify
Your answer
Education
*
High School Diploma
Less Than High School Degree
Some College, but No Degree
Associate Degree
Bachelor's Degree
Professional Certification/License
Professional Degree (JD, MD)
Master's Degree
Doctoral Degree
Do you have any business education?
*
I have taken a few business courses but have not completed a degree or certificate program
I have no business education
I have a Professional Certification in Business or a Related Field
I have a Business Degree
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