The Subscription Insider Accelerate Mastermind Program Application

Thank you for your interest in a charter membership to Subscription Insider's Accelerate Subscriptions Mastermind Program! To get started, we need you to answer the following questions in this application. Please note that we treat all information as confidential. We ask all of these questions to help us support YOU by creating the best-matched groups possible with individuals who can support one another as they grow their own businesses & careers. Thank you!

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* 1. First, please let us know who you are and your contact information:

First Name:

Last Name:

Title:

Company Name:

Email:

Phone:

Website URL:

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* 2. Please provide a brief overview of what your subscription or membership business is focused on. It is important for us to understand what product you offer, type of subscription company you are (box, publisher, Saas, etc...), what model you are using (e.g. auto-renew, invoices, audited-circ, etc...) and who your target customers are.

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* 3. Please provide an overview of your company:

How many years has your business been operating?

What was your 2016 revenue?

What is your anticipated 2017 revenue?

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* 4. Why are you interested in joining a mastermind group?

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* 5. What strengths or knowledge can you bring to your group? What aspects of your business do you love doing or you are really good at?

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* 6. Finally, What else is important to you? Any other thoughts, comments or questions?

Thank you for completing this application! We will review and get back to you shortly. If you have any other questions, please do not hesitate to reach out to customerservice@subscriptioninsider.com.