The Conn3ct Group Exploration Form

Let's tap into your superpowers to help you shine and soar by unlocking the possibilities! Please complete this exploration form so we can get started!

*By submitting responses, you are granting permission to The Conn3ct Group and all affiliates to contact you and use the information to help you achieve your desired outcome. You may request to stop contact at any time by emailing contact@theconn3ct.com. 

You also agree that except as specifically authorized in writing by The Conn3ct Group, you will not disclose to any party: (a) the fact that The Conn3ct Group is assisting you; (b) any information heretofore or hereafter disclosed to you by The Conn3ct Group; or (c) any information or materials developed or generated by The Conn3ct Group for you at your request.

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First + Last Name *
Email Address *
Mobile Number *
Who's interested in enhancing and elevating their leadership presence?  *
Business/Company Name + Type. Type N/A if you selected "me" in the previous question. *
What is your desired outcome? What are you hoping to accomplish? *
How can The Conn3ct be of service? 
*Check all that apply*
 *
Required
Paste your and/or your company's Instagram url. Type N/A if you don't have one. *
Paste your and/or your company's website url. Type N/A if you don't have one. *
How much time are you willing to invest to achieve your desired outcome? *
Required
How much budget are you prepared and willing to invest towards achieving your desired outcome? *
Are you ready to conn3ct to enhance, amplify and protect your leadership presence? *
Required
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