Point of Contact First Name *

Point of Contact Last Name *

Point of Contact Phone Number *

Point of Contact Email *

Podcast Name *

Podcast Website *

Podcast Description/Overview *

Please list your social media links below (account links associated with the podcast- Spotify, Apple, YouTube) *

Select from the attorney(s) from below: *

Thomas Fortenberry

Meghan Romere

Dewey Day

Drake Allison

Why do you want to have us as a guest on your podcast? *

Do you expect this podcast interview to be done virtually or in-person? *

Virtually

In-person

What is the length of time you are requesting to interview us? *

What are the talking points you'd like to touch on? *

Average number of views/downloads from last 3 podcasts/videos. *

0 - 100

100 - 1,000

1,000 - 5,000

5,000 - 10,000

10,000+

Do you agree that Silverleaf Legal Group can have media presence during the podcast and permission to use footage from the podcast on Silverleaf and/or our attorney's social media accounts? *

Yes, I agree

Do you agree to send the raw footage from the podcast recording with our team after the podcast is complete? *

Yes, I agree

We require that we must have final approval of all content (pre & post event materials) that has our attorney's and/or the Silverleaf Legal Group name, image, and likeness associated with it. Do you agree? *

Yes, I agree

Additional Notes

By submitting this form, you understand that this is a request only and does not guarantee a podcast booking with a member of our team. Any discussion or presentation provided is for general educational purposes only and does not constitute legal advice. Submitting this form does not create an attorney-client relationship. Please do not include confidential or sensitive information. By submitting, you consent to being contacted regarding your request.