VIDEOCAST GUEST REQUEST FORM

Please fill out the form below to request a guest appearance on our Video-cast.

First Name

Last Name

Email *

Phone *

Twitter Handle:

Brief Bio: *

Topic of Expertise: *

Brief Description of Topics You Would Like to Discuss: *

Podcast Appearance Experience:

Are you willing to participate in pre-interview preparation (such as a pre-interview call or questionnaire)?: *

Yes

No

As an independent podcast, we rely on the support of our community to help cover our production costs. We kindly ask that you consider making a donation to support the continued success of our show. Any amount, no matter how small, is greatly appreciated. *

$

Additional Information:

By submitting this form, I give permission for my responses and any audio and video recordings of my appearance on the videocast to be used for promotional purposes. *

I Agree

Please fill out the form below to request a guest appearance on our Video-cast.

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