INTERVIEW REQUEST FORM

Who is your target audience? *

Will this be recorded on video?

When would like us to be a guest(s) on your Podcast? (MONTH)

Please put your best social media URL here:

How did you hear about us? *

What topic would you like to discuss? *

Audience size: *

VIRTUAL INTERVIEW REQUEST FORM

Is there anything else you would like us to know?

Email: *

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Name of Podcast/FB Page/YouTube Channel where interview will be posted. *

Name: *

Website URL

Thank you for your interest in having Sheila or Sheila and Frank speak at your event. We will carefully consider your request and respond within a timely manner as she knows your consideration of her as a representative at your event is an honor.

What software will you be using to record? *

Zoom

Phone

Skype

Other

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