Just A Few Questions

First Name *

Last Name *

Name Pronounciation *

Email *

Phone *

Company *

Title *

Website

Social Media Links (if you don't have one for a specific channel write in "N/A") *

Instagram
LinkedIn
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Brief Bio *

What Topic(s) Are You Excited to Talk About During the Podcast? *

Are There Any Specific Points or Questions You’d Like Me to Ask You? *

What’s One Story or Example You’d Love to Share That Highlights Your Expertise? *

What’s the #1 Takeaway You Want the Audience to Learn from Your Episode? *

Do You Have a Freebie, Promo, or Offer You’d Like Us to Share in the Episode?

Anything Else You’d Like Us to Know?

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