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Your Name
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First
Last
Contact Email Address
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Your Website URL
What type of interview is this?
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Audio (i.e., phone)
Video (i.e., Skype or Zoom)
Text (i.e., questionnaire
Facebook Group (i.e., Group Q & A)
How will the interview air?
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Live
Pre-recorded
What is this interview for? (i.e. Podcast, Radio Show, Web TV Show, Video Series, etc.)
*
Audience Size and Demographics
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What would you like to interview Cat about?
*
What will be required of Cat ?
*
Additional Comments or Information
*