Contact Information
Full Name
Phone
*
Email
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Organization
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Format Information
Are you the reporter?
Yes
No
What is the format of this interview?
Written
Audio Only (Podcast)
Audio+Video Only
Live/In-Person/On Location
Other
If other, please indicate here
Please select the type of content you are seeking
General Information/Press Release
Interview (Phone)
Interview (In-person)
Photo/Video
Other
Where will this interview take place?
Phone
Skype
Zoom
Other
Interview Length (in minutes)
Date range for interview to occur
Deadline
Story Topic
Please provide samples of interview questions
Your Audience Information
Where will this Interview be published
Radio
Podcast
Television
Movies
Promotional Video
Video Sites
Commercials
Blogs
Research Paper
Book
Magazines
Periodicals
Other Channels
Please describe your audience demographics
What is the approximate size of your current distribution (readers, viewers, listeners or subscribers) of your audience?
less than 100
101-1,000
1,001-10,000
10,001-50,000
50,001-100,000
100,001-500,000
500,001-1,000,000
more than 1,000,001
Anything else we need to know and prepare?
Submit