PR Mastermind Application
Excited to connect with you! Please take a few moments to fill out this form as fully as possible so that I can find out more about you. As soon as we receive your application if it looks like you'd be a good fit for the mastermind we'll email you with more details and what the next steps are. If you have questions in the meantime, feel free to drop us a line at dina@dinabehrman.com. Thanks x
Name *
Email *
We will contact you on this email address so make sure it's one that you regularly check
Phone number *
What is your business? What is your website? *
How did you hear about me?
Are you currently subscribed to my newsletter? If not would you like to be added? *
What is your current situation with marketing and publicising your business? What are you struggling with? Is there anything overwhelming you? *
If I waved a magic wand, what would you love to achieve in terms of marketing and publicising your business? *
What are your goals over the next 12 months and what would accomplishing these achievements mean to you? *
What are your biggest challenges in achieving your goals?
On a scale of 1-10 (10 being highest) how committed are you to reaching your goals?
Please enter a value between 0 and 10.
Are you ready to take action NOW? *
The earlybird investment is £5497 (+VAT) or 12 x £497 (+ VAT) Are you ready to invest in your business growth now? *
Anything else you'd like to add?
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