Full Name*

Email Address*

Phone
We may decide to contact you via telephone to set up your interview

Which best describes you?* (Check all that apply)
Founder/Co-founderExpert in Business or MarketingExpert in Health or RelationshipsInfluencerStartupOther

What is your business, expertise, or tool?* Please write a BRIEF explanation.

What’s the URL for your business, product or service?*

How long has your business been operational?*

What is your approximate average yearly revenue?*
$0-$100,000$100,000-$500,000$500,000-$1 Million$1 Million-$20 Million$20 Million-50 Million+

Have you had a successful exit from a company you started OR have you contributed directly to another company's successful exit?*
YesNo

Why do you think your story is interesting to the WiseChase TV audience? Tell us about any lessons you’ve learned that you feel will inspire our audience.*

Give us an example of something you would like to TEACH or tell our audience about. This can be tools or strategies that you can deliver which can help someone else discover or level up their own practices.*

Which Social Media platforms are you currently active?* (Check all that apply)
FacebookInstagramYoutubeLinkedInSnapChatPinterestOtherNone

How many followers do you have on your MOST active social media platform, and what is this social media handle for us to find and follow you on?*

How big is your email list?*
0-100100-500500-20002000-10,00010,000-50,00050,000-100,000100,000-500,0001 Million+

Are you willing to share your WiseChase TV episode to your email list?*
YesNo

How else might you be willing to share your episode?*
Facebook (Personal)Facebook (Business Page)Facebook GroupInstagramLinkedinTwitter

WiseChase TV can promote your website links to drive traffic for your launches, books, products or services for hire. Do you provide an affiliate program?*
YesNoWhat's this?

Do you have custom landing pages or sales funnels for your product or services?*
YesNoI'd like to learn more about this

Are you interested in us promoting your episode via sponsored ads to get further reach?*
YesNoHow does this work?

How do you prefer to be interviewed? (In person is available in Calgary, Canada)*
Voice OnlyOnline VideoIn person Video

What city, province/state and country do you reside?*

Are you subscribed to WiseChase TV?*
YesNo

How do you consume WiseChase TV or the WiseChase Podcast?* (Select all that apply)
WiseChase TVitunesGooglePlayStitcherSpotifyYouTube

Approximately how many episodes have you watched or listened to? Which one is your favourite?*

Do you have your own podcast or YouTube show? If so, please provide a link to your show:

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