First Name
This field is required.
Last Name
This field is required.
Optional: If you people mispronounce your name often, how do I say your name phonetically
This field is required.
Phone
*
This field is required.
Email to Get Your Broadcast Link
*
This field is required.
Your bio- 3rd person. This is what I'll read in your intro, so 1-2 paragraph max.
*
undefined
This field is required.
Organization
This field is required.
Podcast Name (if applicable)
This field is required.
Podcast Description
undefined
This field is required.
Your Headshot / Profile Photo
Jpg, Jpeg or Png format - .jpeg, .jpg, .png
Website
This field is required.
Podcast Website | If different from your website (optional)
This field is required.
Your socials & links * Can include as many (or few) as you'd like. I'll include these in the show notes.
undefined
This field is required.
Offer / Opt-In?
undefined
This field is required.
ADDITIONAL COMMENTS OR QUESTIONS
undefined
This field is required.
Submit