The Fuel Your Legacy Show Registration

The Fuel Your Legacy Show Registration

Please fill in the personal information below.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Personalized Podcast Thumbnail

I need a picture that will easily fit in this thumbnail next to where I am currently.
Image to Display on podcast cover that will fit nicely where I am in the picture.

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Attach your One Sheet if you have one.

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THIS PODCAST WILL BE VIDEO & AUDIO RECORDED

PLEASE PREPARE ACCORDINGLY.
Podcast Focus

The goal of the podcast is to share habits, mindsets and behaviors you have developed that will enable the listener to Build a meaningful legacy?
What focus/topic do you feel you can add the greatest insight for building a legacy?*
Please share your biography?*
How would you like to be introduced on the podcast?*
What two books have taught you the most about your selected topic?*
Suggestions or topics you would like to be included in the Podcast?
Who would you recommend for me to have as a guest on the Fuel Your Legacy Show?
Please Put all of the links that you would like to have appear in the show note such as: website, social media links, offers, books etc.
THIS PODCAST WILL BE VIDEO & AUDIO RECORDED

PLEASE PREPARE ACCORDINGLY.
Your Reach and Impact

Help us understand how we can connect with your audience and amplify your message.
My Commitment To You

Create an email notification for your email list

Create a thumbnail promotion picture

Create a short Facebook/Instagram video (which will also go on my Facebook/Instagram story

Create a post on Linked In & Twitter.
Will You Commit To:
Sending out a provided template about your upcoming episode to your email list?

YesNo
Doing a short Facebook live/Instagram video about your episode?

YesNo
Put a link to your episode on your Facebook and Instagram stories?

YesNo
Comment on and share my posts on Facebook and LinkedIn about your episode?

YesNo
THIS PODCAST WILL BE VIDEO & AUDIO RECORDED

PLEASE PREPARE ACCORDINGLY.
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The Fuel Your Legacy Show Registration

Personalized Podcast Thumbnail

THIS PODCAST WILL BE VIDEO & AUDIO RECORDED

Podcast Focus

THIS PODCAST WILL BE VIDEO & AUDIO RECORDED

Your Reach and Impact

THIS PODCAST WILL BE VIDEO & AUDIO RECORDED