AutomationRehab Podcast Application
Please fill out this form as completely as possible. This information will be used to propagate invitations, our visiting speakers' web pages, news releases, and other material used to promote our speakers.
Full Name:
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First Name
Last Name
How long will you speak for?
One Hour
30-Minutes
15-Minutes
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Headshot #1:
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Headshot #2:
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Email:
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Title of your Talk:
Description of your Talk:
Your Core Message: (15 Words)
Three Pro Tips:
Pro Tips #1
Pro Tips #2
Pro Tips #3
Company Name:
Company Title:
Company Website:
Logo URL Path:
Affiliate Banner 300 x 300:
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Podcast Image 1,400 x 1,400:
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Podcast Image 3,000 x 3,000:
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Affiliate Link Application Form:
Business RSS Feed:
Business Phone:
Mobile Phone:
Type of Business:
Analytics Data
Blogging
Branding and Design
Content Marketing
Customer Service
Direct Mail
Direct Response
eCommerce
Email Marketing
Entrepreneurship
Finance and Accounting
Funding
Growth Strategy
Lead Generation
Marketing
Marketing Automation
Mindfulness Wellbeing
Models & Processes
Online Courses
Personal Development
Podcasting
PPC & Adwords
Product Development
Productivity
Sales
SEO
Other
Primary timezone
Pacific
Mountain
Central
Eastern
Other
Expert Credentials:
Bio / About You:
Facebook URL:
Twitter URL:
LinkedIn URL:
Instagram URL:
YouTube URL:
Books URL:
Book Cover Image:
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We have permission to post this podcast on our website and related websites for maximum traffic. (AutomationRehab, Coach Marketing Mastery, etc.):
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Yes
No
Do you have a high-quality microphone or headset made for podcasts?
*
Yes
No
Consent to the podcast being recorded and marketed to our social media and streaming services?
*
Yes
No
Let's Go!
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