SmokeBusters Media Guest Application

SmokeBusters Media Guest Application

SmokeBusters Media Guest Application Presented by MadManPlant & GoodLuckStef ProductionsReal stories. Real people. Real impact.
Full Name

First NameLast Name
Full Name

First NameLast Name
Email Address
example@example.com
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Instagram / Username
Username
Preferred Interview Date

MonthDayYear
Date
Interview Date - Must Match Calendly. LIVE Calendar is on MadManPlant.com

MonthDayYear
Date
Preferred Interview Format
*NOTICE
Please ensure that all the information is correct before submitting the form. Incomplete, incorrect, or fake details will result in the application being rejected.
What’s Your Main Focus

Other
Voluntary Release Statement
Describe Your Story or Topic
Media Release Consent
What Do You Hope to Achieve by Appearing on the Show
Legal Compliance Agreement
Photo Upload

Cancelof
4. Code of Conduct
Signature
Signature
Voluntary Release Statement
Upload a headshot

Cancelof
Media Release Consent
What Do you Wanna Talk About

Other
Legal & Compliance
Interview Type
Code of Conduct
Provide 3-4 paragraphs about yourself and the topics we'll discuss
What do you aim to achieve as a guest on the show?
Should be Empty: