Radio Show Application ~ Magical Marketing Company

Radio Show Application

Women Who Won't Be Silent Radio Application

We are creating a radio program and podcast series designed to inspire and lead women in changing the world. Please answer the questions below to apply to be interviewed by Julia Stege.for this revolutionary project.

Name
First Last
Date
MM slash DD slash YYYY
Phone
Website
Email
What I won't be silent about:
How I think my message will change the world.
How my interview can be used (select all that work)
- Radio Broadcast
- Podcast on iTunes or Other Website
- Transcripts (edited) used in Blog Post
- Transcripts (edited) used in Book
- Recording / Transcript used in Training Program
- All of the Above are OK
We would like to use your interview in a variety of ways. It's best if we know in advance if there are limits you need placed on your interview. We will, of course, credit you and provide a link to your site.
Anything else I want you to know:
Name
This field is for validation purposes and should be left unchanged.

Radio Show Application

Women Who Won't Be Silent Radio Application

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