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Business Intake Form
Updated July 28, 2025
Purpose: For businesses applying for:
Service Block Plans
Music Licensing
Film Sponsorship
Business Name
Contact Person Name
Email Address
Phone Number
Business Type (Retail, Restaurant, Entertainment, etc.)
Estimated Locations or Reach
Select Interest (checkbox)
Select
Service Block Membership
Music Licensing
Film Sponsorship
Acknowledgment:
“I agree that this consultation does not create a franchise relationship.”
“I agree to Certified Talent Co’s IP and advisory terms.”
Digital Signature
Thank you! Your submission has been received!
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