SPECIAL PROJECTS & JOINT VENTURES
REQUEST FORM


Every month we receive numerous requests to work with Mark Victor Hansen in some capacity. In order to assist us in managing your request in a timely manner, we appreciate your completing the following questionaire. Simply fill out the form below and press the “Here's My Request »” at the bottom of the form.

Mark Victor Hansen & Associates covets your personal and proprietary information. As such, this questionnaire will remain completely confidential at all times and will only be used to assess whether we are a match. In order to protect your intellectual property, do not send additional information until requested to do so.

 

CONTACT INFORMATION:

Company Name:

Contact Name:

Phone Number:

Address:

E-mail Address:

Web Site:

How do you know Mark? Have you worked with him before? If so, in what capacity?

What industry are you in?

What does your request pertain to? (Check as many boxes
as appropriate)




For Speaking Engagement requests »

I have been in this business for:




My average business revenue:




Status of project:




My target market is…

Size of my email database:






What are the demographics of
your list?

Describe the scope of your project or request.
( 20 words or less)

What are you requesting specifically of Mark Victor Hansen?
(20 words or less)

What are the benefits to
Mark Victor Hansen?

What is the financial impact of this project? The ROI?

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