Home » Roadtrip Business Overview Form Roadtrip Business Overview Form Hello There! Please complete this form so that we can assess your pain points and how we may bring value with our Roadtrip ProgramAbout Your Business/ConceptBusiness Owner Name(s)*Best Email Contact*Provide your email address where any questions or concerns can be sent Business Name*Note: If you have a conceptual name for your idea, we can work together to see if it best fits with your business goalsBusiness Based City, State & Country*This information helps us determine time differences (we are South Florida based) and business set up specific to your state or country.Goal For Signing UpTell Us Where You Are Right Now. Select One:*Concept DevelopmentStartup (Concept Developed want help on "next" steps)Seeking Business Expansion IdeasBusiness Established (Need Branding Help)Description of Business/Concept*Your Ideal Customer*Current Monthly SalesDoes not have to be exactCurrent Monthly ExpensesDoes not have to be exactEstimated Growth Investment Funds On-hand*To assess marketing/expansion allocations. Does not have to be an exact figureBest Availability Date and TimesPlease provide ALL that apply so we can best schedule your three LIVE video conferences throughout your RoadtripDay (select ALL that apply)*MondayTuesdayWednesdayThursdayFridaySaturdayTime Range Preference 1*Time Range Preference 2*Social Media/Online PresenceWebsite AddressFacebook NameTwitter NameInstagram NameYouTube Channel NameBusiness Logo FileIf you have one, provide logo file in either of these formats; png, jpeg, jpg.Referred By (select ALL that apply)*Facebook AdvertisementYouTubePost on FacebookTwitterInstagramFriend ReferralInternet Search ResultSubmit