Messy Can't Stop Her Podcast Guest Application
Thank you for your interest in being a guest on our podcast. Please fill out this form and we will reach out to you.
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Name *
First and last name
Email *
Business/Niche/Passion *
Brief intro about you and your mess including a personal shift or perspective that you went through that created a significant impact on your life and changed your story *
Website/Social media profile URL(s) *
Is there a specific product/service/event you'd like to promote during the show? E.g. a new book or product launch, campaign, celebration, etc. (if none, say N/A) *
Are you happy to share your Podcast interview with your audience (email list, social media) when it airs? *
We'd love your support to get your episode out to as many people as possible!
Required
Please provide a high-resolution headshot to utilize in the podcast promotional materials. *
We'll be using the image for promoting your episode.
Required
Media/Audio release I hereby voluntarily and without compensation authorize voice recording(s) to be made of me. I hereby give permission to Bean Ninjas to use, reproduce, and distribute the voice recordings, including my name and submitted photo(s). I hereby agree to release Bean Ninjas from any claims, damages or liability arising out of such use or distribution. I understand that the use of my name, likeness, and voice recordings will be primarily for the purposes of commercial use, education and/or promotion by this organization. I have read and understand the foregoing and I consent to the use of my picture and/or voice as specified for the above-described purpose(s). I further understand that no royalty, fee or other compensation of any character shall become payable to me. *
Consent - Media Release
Required
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