Podcast Guest Request Form

Thanks for your interest in having me on your podcast or show! I’m honored. Please take a moment to fill out the short form below, and I’ll get back to you shortly.

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Question 1 of 7

Your Name

First and last

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Question 2 of 7

Podcast or Show Name

What’s the name of your show?

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Question 3 of 7

Your Email Address

So we can follow up!

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Question 4 of 7

Link to Your Podcast or Website

Spotify, Apple, YouTube, or homepage is perfect.

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Question 5 of 7

What would you like to talk about together?

A sentence or two about the topic or direction of the conversation

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Question 6 of 7

Who is your audience?

Entrepreneurs, creatives, mindset junkies, business leaders, etc.

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Question 7 of 7

(Optional) Is there a specific date or time frame you have in mind?

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Confirm and Submit

Name

Email

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