HeartShift Radio High Vibe Tribe Podcast Application

THE HIGH VIBE TRIBE ON HEARTSHIFT RADIO PODCAST INTERVIEW FORM

PLEASE FILL OUT COMPLETELY AND MARCY OR SOMEONE FROM HER TEAM WILL BE IN CONTACT WITH YOU SHORTLY.
Contact Information
Name (exactly as it's to appear in promo materials)*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
WEBSITE*
If you don't have a website, no worries just type N/A
WEBSITE*
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Phone Number:*

Area CodePhone Number
ALL INTERVIEWS ARE DONE ON ZOOM. ARE YOU ABLE TO USE ZOOM?*

YESNO
Please Provide the Following Information
Company Name:*
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What is the focus of your work*
COPY AND PASTE BIO HERE*
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TALKING POINTS OR SPECIFIC QUESTIONS YOU WOULD LIKE TO HAVE INCLUDED
INTERVIEW TITLE*
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Talking Point #1*
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Talking Point #2*
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Talking Point #3*
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SPECIFIC QUESTIONS AND/OR DESCRIPTION OF FOCUS*
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UPCOMING EVENTS OR PRODUCTS YOU WOULD LIKE TO PROMOTE

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Events (Webinars, telesummits, workshops, etc.)*
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Promo images for event

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Link to event*
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AFFILIATE LINK FOR CO-PROMOTION OF EVENT*
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If more than one link, type here
Products (Books, Online Courses, etc.)*
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Promo images for products

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Link to product*
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AFFILIATE LINK TO PRODUCT TO CO-PROMOTE*
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If more than one link, type here
Social Media Information
FACEBOOK*
WHAT IS YOUR FACEBOOK ID - if you don't have one type none
HOW MANY FACEBOOK FOLLOWERS*
TWITTER*
WHAT IS YOUR TWITTER ID - if you don't have one, type none
HOW MANY TWITTER FOLLOWERS*
LINKED IN*
WHAT IS YOUR LINKED IN ID - if you don't have one type none
HOW MANY IN YOUR NETWORK*
INSTAGRAM*
WHAT IS YOUR INSTAGRAM ID - if you don't have one type none
HOW MANY INSTAGRAM FOLLOWERS*
YOUTUBE CHANNEL*
WHAT IS YOUR YOUTUBE CHANNEL - if you don't have one type none
HOW MANY YOUTUBE SUBSCRIBERS*
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THE HIGH VIBE TRIBE ON HEARTSHIFT RADIO PODCAST INTERVIEW FORM

Contact Information

Please Provide the Following Information

TALKING POINTS OR SPECIFIC QUESTIONS YOU WOULD LIKE TO HAVE INCLUDED

UPCOMING EVENTS OR PRODUCTS YOU WOULD LIKE TO PROMOTE

Social Media Information