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
Please enter a valid phone number.
Please enter the name of the company or organization that pertains to this segment.
Include the website of the company or organization that pertains to this segment.
What can be visually demonstrated, performed, or taught?
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?
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.
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:
Question/Talking Point #2:
Question/Talking Point #3:
If there is an event tied to this segment, please fill out the details:
Title of Event
Location/Address of Event
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
Should be Empty: