Interview Submission

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Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Profession* This field is required.
4
Bio/PitchPASTE BIO OR PITCH YOUR STORY
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Ok
Ok
5
Website
6
Submitting For Myself
YESNO
7
The Story Submission is For
8
I Follow Coffea* This field is required.@cofffeamag
YESNO
9
Social Media Handles
10
Headshot
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Select files to upload
Max. file size: 10.6MB
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If you wish to submit more information, please email us at info@coffeamag.com. Replies can take up to 30 days for interview request and/or scheduling. Thank you in advance for your patience. If you have been reffered to submit please include the company or individual.

Let’s celebrate and share your journey with the world.
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Additional Comments
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Ok
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Please verify that you are human* This field is required.
Should be Empty: