Your Story Registration form

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Your Story Registration form

You are cordially invited by the host Dr. Clarence Greene to be his special guest on his new segment "YOUR STORY" on Clarence Archibald Network.We are excited to have you on the broadcast to showcase your life in front of a live audience, we want you to tell us about your life and ambitions; the struggle; and failures, in achieving your success. It should be an encouragement to others who are in pursuits of their own dreams. Sharing inside glimpses of what it took for you to achieve your goals and successes. Therefore your story becomes our story and it motivates all who listens to never give up their dreams of becoming whatever they envision themselves to become in this life. Please fill out and submit this form.

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Would you like to tell your amazing story
YESNO
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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Area Code
Phone Number
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I am interested in telling my amazing story. Please book me a day and time at my convenience and availability to appear on your radio station and network.
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