Request Interview for Survivors One on One Show

Request Interview for Survivors One on One Show
Date*

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Name*

First NameLast Name
Address*

Street Address

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Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Facebook Profile Link*
Do you prefer to be interviewed on certain days? Give preferred days in "Other"*

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Select (U.S.) timezone Are you outside U.S.? No worries! Put your timezone in other.*

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Please upload your story (By uploading your story you give permission to Stroke Zone Productions to promote your story on global basis)*

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Please add any other personal information here.
Do you own the needed webcam and headphones required to be interviewed? Type "Please send" To receive a needed equipment information list via email.*

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Stroke Zone Productions uses Zoom Conferencing Software for all interviews and shows. Launch Zoom Conferencing Website by clicking here. Signup with Zoom for free here. Click here for basic Zoom tutorial. If you have a question or need one on one assistance click here to send us an email.
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