Podcast Interview Form
Please complete this form below in order to book your interview with "The Meg Rock Show." Thank you!
Name
*
First Name
Last Name
Phone
*
Email
*
example@example.com
Please upload your headshot. This will be used for promotion of your episode. (500 X 500 PX)
*
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Facebook Link:
Twitter Link:
Website Link:
Instagram Link:
Link to book you've written:
Where is the number one place you'd like me to direct the listeners? (ie. Website/Instagram/Facebook)
*
What are 3-4 questions you'd like me to ask you during the interview?
*
What's a quick win that my listeners will get from listening to your interview:
*
Please drop your bio below (150 words max.)
*
What is the size of your email list?
*
I will have a microphone for this interview.
*
Yes
No
I will have a quiet environment to record the interview.
*
Yes
No
I agree to the release and promotion of this interview on The Meg Rock Show.
*
Yes
No
I agree to send out 1 email mention to my entire email list and 1 social media promotion during the week my episode is released.
*
Yes
No
I understand Meg Schwarzrock, and The Meg Rock Show, is not liable for any thing I say in this interview.
*
Yes
No
Submit
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