DAYTIME BLUE RIDGE REQUEST FORM
If you would like to be on our show, fill out this form and someone may follow up with you.
Name of Primary Contact
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Company/Organization
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Please enter the name of the company or organization that pertains to this segment.
Website
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Include the website of the company or organization that pertains to this segment.
Segment Topic
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What can be visually demonstrated, performed, or taught?
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How can our host(s) interact/be involved in your segment? Can they help demonstrate or learn how to do something? Can they taste-test a certain kind of food or model a fashion accessory? Can you put them to "the test" with a game or a quiz?
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What props, products or images can be used to help with visuals? Please list the items along with their approximate sizes so we can prepare accordingly with our set space.
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Does one of the guests have a personal story or touching testimony/experience regarding the topic at hand?
Please provide three questions and/or talking points that highlight the main points of your interview. If you write questions, please also give the answers. Question/Talking Point #1:
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Question/Talking Point #2:
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Question/Talking Point #3:
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If there is an event tied to this segment, please fill out the details:
Title of Event
Location/Address of Event
Date
Time
Cost/Other Details
If you have a cooking segment, please provide the name of the dish and a full recipe below:
Any additional comments?
Please verify that you are human
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Submit
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