Value² Podcast Application

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Image Field
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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
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Business Website* This field is required.
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Personal Social Media Links* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Which One Are You?* This field is required.
Discount Partner
Pi Innovation Network Member
I'll Pay
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Easton will review all submitted forms before sending you his calendar link.

Discount Partners & Pi Innovation Network Members will be automatically approved.

Please Note:

Not All Paying Applicants Will Be Approved,

which is why we do not collect any money at this time.
Should be Empty: