Official LGPWLR Guest Form

LGPWLR GUEST FORM

Complete this form below to send us your information for appearing as a VIP guest on Let's Get Personal With Latonya & Rae. If you have any questions or need assistance, please contact our Guest VIP Team at admin@itzurgirlzlatonyaandrae.com or call us at 404-615-7475.
Date *

Month Day Year
Date
GUEST INFORMATION
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
GUEST MEDIA PRESENCE

PLEASE SUPPLY ALL MEDIA PLATFORMS THAT YOU USE FOR YOUR BUSINESS OR ARTISTRY.
WEBSITE
FACEBOOK (PERSONAL)
FACEBOOK (BUSINESS)
INSTAGRAM
TWITTER
LINKEDIN
PINTEREST
YOUTUBE
TALK SHOW INFORMATION
Choose three dates (Tuesdays @ 8pm only) in which you are available for a show. We will contact you on which date is confirmed.
Date

Month Day Year
Date
Date

Month Day Year
Date
Date

Month Day Year
Date
SHORT BIO *
Enter your short bio (less than 900 characters). Remember this needs to be in paragraph form without any fancy fonts, bold, italics, parenthesis, quotation marks, hyphens, ellipses, no &'s, single quotes, double quotes, less than signs, etc.
UPLOAD PHOTO *

Browse Files
Digital, vertical portrait at least 133 pixels wide by 240 pixels high. Must be in either JPEG or JPG format and no larger than 2 MB. Cancel of
Please provide 5 questions you would like us to ask you if we have time for it on the show. Also, make sure these tie into the theme of the show, if applicable.
QUESTION 1
QUESTION 2
QUESTION 3
QUESTION 4
QUESTION 5
BY SUBMITTING THIS INFORMATION, YOU AGREE THAT WE CAN USE THE RECORDING(s) FOR OUR WEBSITE(s), PRODUCT(s), BOOK(s), SOCIAL MEDIA CHANNEL(S), ETC. WITHOUT ANY COMPENSATION OWED TO YOU. YOU, IN TURN, CAN DO THE EXACT SAME THING AS LONG AS YOUR READER/LISTENER/VIEWER HEARS FROM YOU THAT IT CAME FROM YOUR APPEARANCE ON "LET'S GET PERSONAL WITH LATONYA & RAE".

WE WILL PROVIDE YOU WITH A LINK TO VIEW THE MP3 WITH THE INTERVIEW TO MAKE IT EASIER FOR YOU IF YOU PROMOTE THE SHOW VIA SOCIAL MEDIA AT LEAST 2 TIMES BEFORE THE AIR DATE AND TO REPLAY ONCE AFTER THE SHOW, AS WELL AS SHARE AT LEAST ONCE ALONGSIDE AN EMAIL LIST.
I AGREE TO THE TERMS OF THIS AGREEMENT. *

YES
Should be Empty:

LGPWLR GUEST FORM

GUEST INFORMATION

GUEST MEDIA PRESENCE

TALK SHOW INFORMATION