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Name*

Email*

Phone Number*

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What do you want to create?*

Original Content
Podcast, video, book.

Does it already have a name?*

What format would it be in? (select as many as needed)*

Podcast / Audio
Video
Study Guide
Website
Download
Other

Who would benefit from it?*

What kind of reach or impact would you hope for?*

What would be most helpful from Epic? (Select all that apply)*

Expertise
Resources
Financial Help
Accountability
Research
Consulting
Location
Promotion
Other

Best estimation of cost?*

What would you do with the money?*

When do you want to start?*

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