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NexGen Media interest
1.
Please provide your name and contact information.
Name
Company
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Country
Email Address
Phone Number
2.
What chapter are you affiliated with?
3.
Are you interested in creating content (videos, articles, podcasts, other) for other NexGen planners?
Yes
No
4.
Are you interested in creating content (videos, articles, podcasts, other) for NexGen consumers?
Yes
No
5.
Is there a topic or area of Financial Planning where you feel you could share your expertise?
Yes
No
6.
Please mark all areas of Expertise.
Investing
Estate planning
Tax planning
Education planning
Special needs planning
Debt management
Retirement planning
International planning
Other (please specify)
7.
Do you have a preferred method for creating content?
written article
spoken word (podcast)
short videos
Other (please specify)
8.
how often do you think you could produce this content?
multiple times a week
once a week
twice a month
once a quarter
once a year
Other (please specify)
Current Progress,
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