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First name*

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What are your monthly downloads?*

Phone number

Company Social Media Link(s)*

Do you offer a physical product or a service?*

Do you offer a service? *

Please provide company mission statement*

Why do you think your company is a good fit for the Mind Pump brand?*

What is your campaign objective?*

How did you hear about Mind Pump?*

Favorite individual piece of Mind Pump content?*

Do you work with other podcasts?*

What is your Budget?*

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First name*

Last name*

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Phone number*

Do you mind if we call or text you?*

What is your main fitness goal?*

Do you already own any of our workout programs?*

Do you have any experience with resistance training?*

What do your current workouts consist of?*

What are your current average reps and sets?*

How many exercises do you do per body part on average?*

How long do your workouts typically take?*

How many days a week do you do this workout?*

Have you seen progress with your current workouts?*

Are you satisfied with the amount of time you spend with your current workouts?*

Are you comfortable with the big lifts, such as barbell squat, barbell deadlift and barbell bench press?*

How is your mobility?*

Do you do any cardio?*

Do you regularly participate in any other activities; such as sports (soccer, basketball, etc), martial arts, mountain biking, etc.*

How many days per week would you like to commit to resistance training?*

Do you currently have any injuries, health concerns or limitations that would affect your ability to complete a full body resistance program?*

What questions do you have about the MAPS Program? *

I agree to receive recurring automated promotional and personalized marketing text messages. Reply STOP to cancel, HELP for help. Msg & data rates may apply. Terms of service & privacy policy found here.*

First name*

Last name*

Email*

Company name*

Website URL*

What are your monthly downloads?*

Phone number

Company Social Media Link(s)*

Do you offer a physical product or a service?*

Do you offer a service? *

Please provide company mission statement*

Why do you think your company is a good fit for the Mind Pump brand?*

What is your campaign objective?*

How did you hear about Mind Pump?*

Favorite individual piece of Mind Pump content?*

Do you work with other podcasts?*

What is your Budget?*

I agree to receive recurring automated promotional and personalized marketing text messages. Reply STOP to cancel, HELP for help. Msg & data rates may apply. Terms of service & privacy policy found here.*

First name*

Last name*

Email*

Phone number

Company name*

Company Social Media Link(s)*

Why do you think your company is a good fit for the Mind Pump brand?*

What are your monthly downloads?*

Please provide company mission statement*

How did you hear about Mind Pump?*

Favorite individual piece of Mind Pump content?*

Do you work with other podcasts?*

What is the name of your event?*

What is your event objective?*

What is the date and time of the appearance?*

What is the location of the appearance?*

Which host would you like to make a guest appearance?*

What topic(s) would you like discussed at the appearance?*

What is the budget for the appearance?*

What is your advertising budget?*

I agree to receive recurring automated promotional and personalized marketing text messages. Reply STOP to cancel, HELP for help. Msg & data rates may apply. Terms of service & privacy policy found here.*

First name*

Last name*

Email*

Phone number

Company name*

Website URL*

Company Social Media Link(s)*

What are your monthly downloads?*

Please provide company mission statement*

Please provide the product and/or services you offer and a brief description*

Why do you think your company is a good fit for the Mind Pump brand?*

What is your campaign objective?*

How did you hear about Mind Pump?*

Favorite individual piece of Mind Pump content?*

Do you work with other podcasts?*

Topic(s) you’re interested in discussing?*

Do you have your own travel budget for airfare, hotel accommodations, etc?*

What is your Budget?*

Possible dates you’re interested in?*

I agree to receive recurring automated promotional and personalized marketing text messages. Reply STOP to cancel, HELP for help. Msg & data rates may apply. Terms of service & privacy policy found here.*

First name*

Last name*

Email*

Phone number

Which Program would you like to return?*

What is your reason for requesting a refund?*

** Refunds must be made within 30 days of purchase. If it has been more than 30 days, it is past the window for refunds. **Please note that if you do not provide accurate information (name, email address, etc misspelled), it will delay the processing of your request.

I agree to receive recurring automated promotional and personalized marketing text messages. Reply STOP to cancel, HELP for help. Msg & data rates may apply. Terms of service & privacy policy found here.*

How can we help you today? Please select your reason for contacting us and fill out the form! Someone from our team will be in touch soon.

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