A Featured Speaker just completed her uploads for The Empowering Girl-Moms Show.
The EGMS Speaker Submission Form
Please take a moment now to complete the form below. You may enter your information, save, and return to finalize it if necessary. Your prompt attention ensures a impactful delivery of your powerful message.
Speaker First Name
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Enter your first name
Speaker Last Name
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Enter your last name
Speaker Title
*
This will be used on the promo as 'Your Title'.
Speaker Email
*
Example@example.com
Speaker Mobile Number
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Please enter a valid mobile number
Speaker Website
Enter your website address
Upload your headshot here (please use high resolution photo)
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Browse Files
Add your headshot, media logo strip, free gift, etc. here.
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Copy and paste your Full bio and/or Radio bio here (or Upload above)
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Have you been featured online, in print, or media?
Please list and/or include media logo strip in upload above.
Is there a Quote you'd like to share.
Include a quote of your own words
Proposed Interview Topic or Title
Include your Proposed Interview Topic or Title.
Free Gift Title
What is the title of your free gift offer?
Free Gift Link
Please include the URL to your free gift or upload above.
Free Gift Description
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Please describe the free gift, who it's for and how it helps.
Current List size (for tracking purposes)
*
Are there any specific questions you would like Queenie to ask during the interview?
Schedule Your Pre-Recorded Interview Now
Please select your preferred interview date and time. If a convenient time is not available, contact Queenie immediately so that she may accommodate your schedule. Please aim to book your interview sooner than later to help us better prepare.
https://www.jotform.com/build/222985821991166#generalAppointment
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Promotion Period is April 25nd-May 17th, 2024.
*Requirements: Send at least one email (solo) in between the above dates and at least one social media blurb. A second email is encouraged to be sent 2 days before the live event. [Optional Additional Promotion: Feel free to send an intro email celebrating your participation with and contribution to 'The Empowering Girl-Moms Show", which will allow your audience an introduction and early bird access to relevant supporting content PRIOR TO and in prep for the promotional period.]
Date Committed to Mailing
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You Can Help Us ALL Help More Moms! PLEASE SHARE/POST our Promos on your social channels. How do you PLAN to help us promote?
I'll Post on my socials 2 times ( (1) ASAP + (1) Prior to AirDate)
I'll 'Post' more than 2 times
I'll Share all of the EGMS promotional posts
I DO NOT Intend to share
Physical Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please submit and you will receive your speaker's agreement on the next page. Thank you for helping us support 'Girl-Moms'.
Please sign and return the agreement to QueenieBrown@gmail.com. Thank you.
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