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Fractured Not Broken Podcast Guest Form
Thank you for your interest in being a guest on the podcast. Please take a moment to fill out this short form so we can learn more about you. The information you provide will help to determine if you and your messaging are aligned with our goals to transform how we show up and participate in relationships.
Note:
In-studio recordings:
for Fractured Not Broken: The Relationship Wellness Podcast occur in Washington, DC. All guests are responsible for their own travel expenses, transportation, and accommodations to and from our recording studio.
Attire:
Business Casual
Remote guest recordings:
Please have a reliable internet connection, webcam, an external microphone and headphones for optimal audio quality. Once your session is confirmed, we will provide the link for you to join the session from your computer.
Attire
: Business Casual.
*
Indicates required field
Name
*
First
Last
Email
*
Business Name (if applicable)
*
Website (if applicable)
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Please Provide a Short Bio
*
Social Media Links
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Please link your URLs for IG, FB, LinkedIn, or any other channel you'd like to share
Briefly explain what you'd like to discuss
*
Acknowledgement
*
I acknowledge that submitting this form does not mean I'm guaranteed to be on the show.
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Podcast Guest Form