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Entrepreneur Rap Video Application
Fill out the fields on this form to set up an interview to see if your brand is a good fit for a custom rap music video written and performed by Chris Record
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* Indicates required question
Your Name
*
Your answer
Company Name
*
Your answer
Telephone Number
*
Your answer
# of Employees
*
Choose
0
2-10
10-50
50-100
100+
Annual Revenue (USD)
*
Choose
Less Than $100,000
$100,000 to $500,000
$500,000 to $1,000,000
$1,000,000 to $10,000,000
$10,000,000 to $100,000,000
More Than $100,000,000
Are you the Founder or CEO?
*
Choose
YES
NO
What is your Job Title?
*
Your answer
What is your Company Website?
*
Your answer
Tell Us About Your Company
*
Your answer
Would You Like Chris Record to Perform at your Company Event as well?
*
Yes
No
Maybe
How/where did you hear about us?
*
Your answer
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