This is a Request Form so please be aware that this is not a confirmed interview.
Which Show Are You Requesting To Be On?
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The Amanda Sapp Morning Show (Tues - Fri 7am-10am)
C.H.A.M.P (Live - Wednesdays at 5pm)
Community Health Choice (Live - 2nd & 4th Mondays 10am)
NAMI (Live - 1st & 3rd Mondays 11am)
QTNA (Fridays at 6pm)
Sidelines (Wednesdays at 11:30am)
Other
Full Name
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Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Pronouns
They/Them
She/Her
He/Him
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Title ex. "Artist", Director Of...." "Owner of", etc.
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Instagram Handle
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Biography
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3 Talking Points for your Interview
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Briefly tell us why you would be an Amazing Guest for our show
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Preferred setting for interview (not available for all shows)
Streamyard Virtual Call
In person interview
Picture for promotion (Headshot, Full body, or waist up)
*
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Are you interested sponsoring opportunities with Amazing 102.5?
*
Please Select
Yes
No
Not at this time.
I grant permission to KMAZ 102.5fm Radio (hereafter referred to as “Broadcaster”), to broadcast the following content over the air and over the internet, solely through Amazing 102.5FM and Bread of Life Inc. for the purpose of guest promotion and free of commissions.
*
I consent for KMAZ 102.5fm owns and may use content from our interview/meeting for promotional use.
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