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Marketing Assistance Application

This four-part form will collect basic and contact information about the company along with basic information about current marketing strategies.

Information submitted is confidential.

Businesses selected will receive marketing assistance either in person or virtually via webinar/webcam, in exchange for having portions of the sessions recorded and produced as The Marketer™.
Please complete as much information as possible so that we can gain an understanding of your business.  You can find information about the application and webisodes at http://applymarketer.gurumarketing.solutions

Submission of this form does not guarantee acceptance into the program.  All those submitting the form will be notified whether they are accepted, put onto the wait list, or not chosen.

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Company/Business Name *
Your Name (first last) *
Your phone number *
Your email address *
Your role with the company *
Are you authorized to make this submission on behalf of the company? *
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