Interview Request

Rick is very busy with interviews during the holiday season and his schedule fills up quickly. In order to prioritize your Interview Request and properly market the interview throughout our network, please provide the following information and we will respond to your request as soon as possible. If you need to contact Rick for general questions, you can reach him at: rickgoldsc@aol.com.

Date of Interview*
Time of Interview or Time Slots Available (Include Time Zone, e.g. "CST")*

Please seperate multiple entries by line breaks or commas.
Expected Duration of Interview (e.g. "15 minutes")*
By Phone or In Person Interview?*
- By Phone
- In Person
Dial In Phone Number
Physical Address where the Interview will be Conducted
Street Address Address Line 2 City State ZIP Code
Broadcast Medium*
- Television
- Radio
- Internet Radio
Is There a "Listen Live" Link to the Show?
- Yes
- No
If you know the "Listen Live" link, please list it here
Is the Interview Live or Taped for Future Broadcast?*
- Live Interview
- Taped Interview
Indicate the StationName(s), Location(s)/Market(s), Date(s) & Time(s) that the Interview will Air (e.g. "WABC AM 600 - Cleveland, OH - 12/22, 1:00 p.m.")

Please seperate multiple entries by line breaks or commas.
Station Name(s) & Location(s)/Market(s) (e.g. "WABC AM 600 - Cleveland, OH")

Please seperate multiple entries by line breaks or commas.
Name of Show (e.g. "The Morning Show")*
The Show Host(s)*
Website of Show*
Contact Name*
First Last
Contact Email*
Contact Phone*
Additional Information
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Interview Request

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Interview Request

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