First & Last Name
City & State
Your Time Zone
Your Short Bio
Your Long Bio
Please include all contact information you want our audience to have and any links you want us to share on your behalf.
What is your topic you would like to discuss on the podcast?
What would you like the title of your show to be?
I prefer to just have a conversation however if you want me to ask you some things, what 5 questions do you want me to ask you?
Would you like to contribute a prize to give away to our listeners?
List all the best days and times for us to record the show.
I agree to email a headshot photo to email@example.com
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