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Welcome
Welcome to the Media Circus Podcast guest booking page! We're excited to have you as a potential guest on our show. Please complete the form below to help us learn more about you!
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1
Name
First Name
Last Name
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2
Email
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example@example.com
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3
WHICH BEST DESCRIBES YOU
*
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Choose as many as applicable
Freelance Journalist
Contributing Writer
TV Producer
Reporter
Blogger
Magazine Editor
Podcast Host
YouTube Host
News Writer
Other
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4
MEDIA OUTLETS
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Please indicate which are current and former media outlets or brands you've worked for or created content for.
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5
WEBSITE URL
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The best place for me to gather the most information about you.
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6
YOUR NAME, CREDENTIALS, MEDIA TITLE
*
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How you want your name and title to appear in marketing. (Ex: Taiisha Bradley, MA, Celebrity Publicist)
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7
PREFERRED PRONOUNS
She/Her/Hers
He/Him/His
They/Them/Theirs
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8
BIOGRAPHY
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A brief bio or summary of your expertise and qualifications as a media professional.
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9
BRAND PHOTOS
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To help promote your episode, please submit a headshot or lifestyle photo that I am authorized to use to promote your episode
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10
Phone Number
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Where you may be reached if we experience technical issues.
Please enter a valid phone number.
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11
GUEST RELEASE FORM
The Guest consents to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the program entitled Off the Press with Taiisha. The Guest acknowledges that Taiisha Bradley, MA (“Podcaster”) is the sole owner of all rights in and to the Program, and that Podcaster has the unfettered right to use, exploit and distribute the Program and Guest’s performance as embodied therein in any and all media or formats, throughout the world, in perpetuity. The Guest understands and agrees that he/she shall receive no compensation for appearances on and participation in the Program, and that his/her name and likeness may be used in advertising and promotional material for the Program, but not as an endorsement of any product or service. The Guest releases and discharges Podcaster from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any means or otherwise using the above-mentioned production.
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