Guerrilla Rep Media Group Mentorship Interest Form
This form is to express an interest in the Guerrilla Rep Media Group Mentorship program.  The program is designed for self-motivated entrepreneurs who need a mentor or group of peers to bounce ideas off of, have their questions answered, and get guidance on the next steps for their projects.  Benefits include:

Weekly Video calls with Ben and the group
Special forum only for group program members
PDF copies of all Ben's Books (50 dollar value)
Copies of Ben's Executive Producer Expressway Video Series (200 dollar Value)
Copies of all Producer Foundry Workshops, (100 dollar Value)

This form is not a commitment, only an expression of interest.  The data in the form is primarily to group potential members into the right calls, and will not be shared
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Email *
Project Name
First Name (or Preferred Name) *
Last Name *
Primary goal
Clear selection
Stage of development for your primary project
Clear selection
Your Role on the primary project
How much work have you done
Clear selection
What sort of project are you working on?
Clear selection
Genre *
Sub-genre *
Clear form
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