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Thanks for your interest in being a special guest on our Facebook Live platform!
Please take a few minutes to answer a few quick questions! Look forward to seeing you soon!
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Full Name
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E-mail
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Please provide urls for the following, if applicable:
Facebook
Instagram
LinkedIn
Website
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4
What industry are you in?
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5
What is the professional title (s) you use and wish to be used by us when we promote you as a special guest?
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6
What topics or areas of business are you knowledgeable in/passionate about?
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7
Upload a professional picture of yourself that we can use for promotional purposes.
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8
Please provide a brief bio/info about yourself that we can share with our audience prior to the discussion.
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9
Photo and Audio Release
I hereby grant the releasee permission to use voice recording and photographs in any of the following: web-based and/or print publications. I hereby affirm that such release to the releasee does not constitute any form of compensation, including royalties arising from the photographs, to my benefit. I understand and agree that photographs and recordings in the possession of the releasee shall become the property of the releasee. The use and publication of the photographs and recordings, however, shall conform to my rights as a subject of said photographs and recordings. I hereby waive my right to inspect or approve the photographs or recordings by which my likeness or voice appears. I hereby hold harmless, release, and forever discharge the from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
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10
Please choose the best time for a quick pre-discussion via phone for any questions or concerns that you may have or if you haven't been in contact with anyone on our team yet regarding a topic. We will also determine the best topic we feel would benefit our audience based on the details of your submission.
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11
Phone Number
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Please provide a phone number to best reach you on the above meeting date.
Area Code
Phone Number
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12
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