Interview Request
Radio Personalities , Pod-casters, Bloggers, and Journalist
Real Name
*
First Name
Last Name
Alias/ Persona Name
*
Enter Name Here
Facebook Username
*
FaceBook URL or @username
Instagram Username
*
Instagram URL or Handle
Email
*
example@example.com
Contact Number
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Area Code
Phone Number
Station/Company/Brand Name
*
Please Enter Info Here
Company/Brand/Station WEBSITE
*
Key in your company's website, If None, Enter "None"
What's Your Media Profession?
*
Public Figure
Radio Personality
Blogger
Pod-Caster
Magazine Journalist
Talk Show Host
OTHER
Choose from the Drop down Menu
If answered "Other" to above question, Please Specify
Enter Alternative Profession
Date Request for Interview OPTION 1
*
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Month
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Day
Year
Preferred Date Here
OPTION 1 Time
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Hour
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Minutes
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AM/PM Option
For any Reason T Haddy is Booked on that day, Please choose 2nd OPTION
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Month
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Day
Year
Second Option Here
OPTION 2 Time
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Hour
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10
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Minutes
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AM/PM Option
Interview Type
Audible
Visual
Both
Conducting the Interview
On Location
Internet
Phone
What Format do You Work In?
*
Internet/ Online
Syndicated Radio
Print
Satellite
Other
Will the Interview debut "Live" or Pre Recorded?
*
Live Debut
Pre Recorded Debut
None, Manuscript Only
If MANUSCRIPTED, Provide Publishing Date
-
Month
-
Day
Year
Date
In short, describe your reason for the Interview request.
*
Would You Have Prepared Questions Sent Over?
Yes
No
Still Deciding
How Often Do You Operate in Your Profession?
*
1-2 x WEEKLY
3-5 x WEEKLY
5 OR MORE DAYS WEEKLY
Monthly
On Call- Varies
Your Audience Demographic Preference
*
Traditional Gospel [ie: Shirley Caesar]
Holy Hip Hop (Urban Gospel)
EDM
Jazz
Mainstream Hip Hop
95% Indie Artists
Rhythm and Blues
Old School Classics [ie: Commodores]
Contemporary Gospel [ie: BeBe and CeCe Winans]
Other
Customized Drop Services for Media Pros
Need a Custom Theme Song or Customized "T Haddy On Da Track" Drop for your show or set?
Would You Like a Custom "Drop" for Your Show?
Yes, for $50- Customize a drop with "THaddyOnDaTrack" tagline or shoutout with my show/ DJ name.
No Thanks, I can handle it.
If "YES" Please add info:
Include info for Drop Service
My Products
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Custom "T Haddy on Da Track" Audio Drop
$
50.00
Customized Theme Song Request
$
125.00
Customized Theme Song and Custom Drop
$
150.00
Total
$
0.00
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