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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
*
Date Format: MM slash DD slash YYYY
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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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