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Contact & Role

Full Name *

Email *

Your Role / Title (select one) *

If “Sales Rep” selected: Have you been in your current sales position for at least 3 years? *

Yes

No

Business Profile

Business Name *

Primary Industry / Category *

Years in Operation *

Number of Employees *

Annual Revenue Range *

Offer & Pricing

Describe Your Flagship Offer *

Price Point of That Offer *

On average, how long is your sales cycle? From the time you get a referral until they become a client  *

Market & Growth

Ideal Client Avatar *

Top 3 Pain Points You Solve for Clients *

Your Role / Title *

Typical Sales Cycle Length *

Networking Experience

Are you part of any other networking groups? *

Yes

No

Types of Businesses You Most Want Referrals From *

Types of Businesses You Prefer Not to Be Grouped With *

Max Number of Direct Competitors You’re Comfortable Sharing a Pod With *

How Many Qualified Referrals Can You Commit to Giving Each Week? *

Weekly Availability for a 60-Minute Pod Meeting *

Geography & Compliance

Is your business geographically limited? (select one) *

Are there any compliance or regulatory rules that prevent you from freely sending referrals? *

Yes

No

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