FIRED-UP – Form | Carol Roth

Are you thinking about starting, buying or franchising a business? Do you want to know if you have what it takes to be an entrepreneur and if the time is right for you? Submit your information below and if you are chosen, Carol Roth will do a free FIRED-UP® entrepreneur assessment with you.

* Required Field

Fired Up Participation Form

Your Name: *

Your Email Address: *

Retype Your Email Address: *

Daytime Telephone Number: *

Are you looking to start, buy or franchise a business? *

What type of business are you considering starting/buying/franchising? *

How much will it cost to start/buy/franchise this business? *

Do you currently have any personal debt (mortgage, car loan, credit card, student loan, etc.)? Enter dollar value and type(s): *

How much of your own money will you invest in this business? Where will it come from? *

How much will you need to raise (including loans) from others? *

What are your reasons for wanting to start/buy/franchise this business? *

Do you have other people that you are responsible for (kids, spouse, parents, etc.)? If so, who? Do they work? Do you have enough money to live on for the next two years without a salary? If not, how much salary would you require from your business in order to live on given your responsibilities? *

What kind of business experience do you have? What experience or skills relate to the business you want to start/franchise or buy? *

On a scale of 1-10, how much do you want to start/buy/franchise this business? *

How would you feel if you were told you couldn’t start/buy/franchise this business? *

Terms of Submission:
Thank you for emailing CarolRoth.com. We regret that we are not able to respond to every e-mail individually. The opinions expressed through CarolRoth.com and any answers you receive to your questions or advice you receive through this site or from Carol Roth are solely the opinions of Carol Roth and any of her guests. You understand that your business decisions are your sole decision and responsibility. While Ms. Roth or any guest of hers may discuss with you specific business ideas or give advice based on the limited interaction and limited amount of information that they are able to elicit, you understand that their advice is of a general nature, that they are not aware of the specifics of your situation and that you should not and will not make business decisions based solely on Ms. Roth’s advice and that of her guests. This includes any advice given through the FIRED-UP® entrepreneurship assessment and any all other advice, ideas or suggestions. By making a submission, you are also granting Intercap Merchant Partners, LLC, CarolRoth.com and all of their respective affiliates a worldwide, royalty free, perpetual, unrestricted, irrevocable, and fully sublicensable right and license to use, copy, distribute, transmit, publicly display or perform, reproduce, edit, modify, translate and reformat your submission (in whole or in part) worldwide in any form of media or technology now known or later developed or invented. You also represent and warrant both that you are at least 18 years old and that your submission does not violate the rights of any other person or entity. You will not receive any compensation for your submission or for granting any of these rights and there is no obligation to use your submission or to mention your name. If you make a submission, and if we decide to use your submission on CarolRoth.com or in any Carol Roth-related project in any media, you agree that we may mention (but are not obligated to mention) your first name, last initial and geographical location in conjunction with the submission or in any segment related to such submission. By sending us your submission you do not create a confidential relationship or obligation of secrecy between you and Intercap Merchant Partners, LLC or CarolRoth.com or any of their respective affiliates. You agree that by making a submission, you are granting Intercap Merchant Partners, LLC or CarolRoth.com or any of their respective affiliates permission to contact you regarding your submission and that your submission may already be in development by Intercap Merchant Partners, LLC or CarolRoth.com or any of their respective affiliates. These Terms of Submission and the Terms of Service of CarolRoth.com supersede any and all agreements or communications of any kind between you and Intercap Merchant Partners, LLC or CarolRoth.com or any of their respective affiliates or anyone associated with above, and they can’t be modified or waived except in writing and unless properly signed. If you agree to be bound by all of these Terms of Submission and the Terms of Service of CarolRoth.com, then return to us by reply email the question that you would like to submit. If you don’t agree, don’t send us a submission. Intercap Merchant Partners, LLC and CarolRoth.com will take any submission by you as an agreement to these Terms of Submission.

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I have read and agree to the terms of service and terms of submission