The Liquidity Event Raffle | Win Exclusive Entrepreneur Prizes

Thank you for taking the time to complete our brief RAFFLE ENTRY survey.

First Name *

Last Name *

What Is Your Age? *

What is your gender? *

Are You Currently Retired? *

Yes

What Industry Did You Retire From? *

Occupation *

What Is The Name Of Your Company Or Organization? (Optional)

Which industry do you work in? *

Are You Currently A Business Owner? *

Yes

Is Your Business A Franchise? *

Yes

Are You Looking To Turn Your Business Into A Franchise Within The Next 18 Months? *

Yes

What Is The Average Monthly Revenue Of Your Company?

Do You Need Life Insurance? *

Yes

Would You Like To Be Contacted About Life insurance? *

Yes, I want to be contacted about life insurance

No, I don't want to be contacted about life insurance

Have You, A Family Member, Or Friend Had A Property Insurance Claim Underpaid Or Wrongfully Denied Within The Past 3 Years? *

Yes

Would You Like To Be Contacted By An Attorney At Insurance Claim HQ About The Underpayment Or Wrongful Denial? *

Yes

Are You Looking To Start A Remote Business Within 3 to 6 Months? *

Yes

Do You Want Someone to Contact You About Starting A Remote Business? *

Yes, I want to be contacted about starting a remote business!

No, I do not want to be contacted about starting a remote business

Do You Want A Specialist To Contact You About Saving On Payroll and Merchant Services, and Employee Healthcare? *

Yes

Do you know anyone, including yourself, that needs better health coverage? *

Yes

Would You Like To Be Contacted About Better Health Coverage? *

Yes

Do You Have A Will Or Trust? *

Yes

Is Your Will Or Trust Older Than 5 Years? *

Yes

Would You Like Someone To Contact You About Updating Your Will Or Trust? *

Yes, I want to be contacted about updating my will or trust.

No, I don't want to be contacted about updating my will or trust.

Would You Like Someone To Contact You About Creating A Will or Trust? *

Yes, I want to be contacted about creating a will or trust

No, I don't want to be contacted about creating a will or trust

Do You Need A Loan For Your Business? *

Yes

Would You Like Someone To Contact You About A Loan For A Business? *

Yes, I would like to be contacted about a loan for a business.

No, I don't want to be contacted about a loan for a business.

We like to send out birthday gifts, it's not required, but if you want to receive a gift on your birthday. Enter your birthday, current mailing address, and shirt size below.

Or simply click next to skip.

Birthdate

Street Address

City

State

Postal code

Shirt Size

Thank you for taking the time to complete this survey! Hit "Submit" to be entered into our raffle.

Phone *

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