Trucking Reality Talk Podcast Interview Form
Please complete the following form below: Please select (3) dates you are possibly available starting January 15,2024
Request Date of Interview 1:
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Request Date of Interview 2:
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Month
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Date
Request Date of Interview 3:
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Name
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First Name
Last Name
Phone
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Email
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example@example.com
Please upload your headshot. This will be used for promotion of your episode. (500 X 500 PX)
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File Upload: Please upload your logo (if you have one)
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File Upload: Please upload any prior performance or appearances you would like highlighted.
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Facebook Link:
Twitter Link:
Instagram Link:
TikTok Links:
Website Link:
Where is the number one place you'd like me to direct the listeners? (ie. Website/Instagram/Facebook)
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What are 3-4 questions you'd like me to ask you during the interview?
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Please drop your bio below (150 words max.)
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Do you have a product or service you would like to highlight during the interview? Please describe? (150 words max.)
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I will have a quiet environment to record the interview.
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Yes
No
I agree to send out social media promotion during the week my episode is released and tag @aawta & @iamthe_nicole using the hashtag #TruckingRealityTalk #AAWTA
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Yes
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I, [Guest] hereby consent to participate as a guest on the "Trucking Reality Talk" podcast, produced and hosted by Nicole "Nikki" Ward. I understand and agree to the terms and conditions outlined in this consent agreement.Release of Rights:I grant permission to "Trucking Reality Talk" and their associates to record, edit, publish, and distribute the podcast episode featuring my participation.I grant "Trucking Reality Talk" the right to use my name, voice, image, and likeness in connection with the podcast episode, promotional materials, and related content, without any compensation.Content Ownership: I understand that the content created during the podcast episode, including but not limited to audio recordings, transcripts, and any other related materials, shall remain the property of "Trucking Reality Talk", and I shall have no claim to ownership, royalties, or rights over this content.
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