Work with Jay

Name *

First Name

Last Name

Which of my services are you inquiring about? *

1:1 advisory

Team training

Keynote speech

Guest webinar

Influencer program/sponsorship

Something else

Where do you currently follow or interact with my work? *

Select all that apply.

I read your newsletter

I listen to your podcast

I read your book(s)

I saw you speak

I follow you on LinkedIn

I follow you on Instagram

I don't currently engage with your work

Someone referred me to you

I understand this form is not a place to sell Jay on my services. If I AM trying to sell Jay on something and decide to submit this form anyway, I admit to being a very silly monkey who needs a banana and a good long timeout. 🐒 *

I understand 🍌