Podcast Guest Form

Podcast Guest Form
Name *

First Name Last Name
Organization
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
example@example.com
The PINK Out is about women and is for women. I was born *
Upload a professional photo of yourself for publication and advertising purposes. *

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Personal or Professional Website *
Please answer: www.nowebsite.com if you do not have one.
What social media platforms are you on? *

Facebook Instagram TikTok Snapchat YouTube WhatsApp Tumblr Twitter Reddit LinkedIn Pinterest Other
Why do you want to be on the our podcast channel? Full details are required. *
Please list three to five topics that you would like to discuss. (For example: 1. Parenting 2. Marriage 3. Education etc.). *
Do you have an engaging social media following? If so, how many followers do you have and how often do they engage? *
Please describe in detail.
Please share any links to past speaking engagements or social media content.
Are you an author? *

Yes No
What is the name of your book and where can it be found? *
Are you in agreement with being recorded on live video (Zoom, Streamyard, etc.)? *

Yes No
Recordings will be edited. Therefore, something that you say might be edited out of the broadcast. Do you wish to proceed with your appearance on The PINK Out? *

Yes No
You are not allowed to use profanity or discuss anything that is vile, disrespectful, demeaning, or sexually explicit on The PINK Out. Do you agree to these terms? *

Yes No
The PINK Out Reserves the right to refuse service to anyone at any time. Do you understand? *

Yes No
How did you hear about us?

Google Search Referred by someone I'm a listener
Anything you want to add?
To listen to our Podcast, go to The PINK OUT

Join The PINK Out on Facebook.

We look forward to connecting with you and sharing your story with the podcast world.
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