Please select which JWA Media client you are requesting to interview or make an appearance. *
Required
Please specify your full name, title and what organization you represent, or what specific media outlet or show you are making your request on behalf of. *
Your answer
Please provide a link to your media organization's website and an example (if available) of a finished piece of content you intend to produce. *
Your answer
If you are requesting a JWA Media client to make an in-person promotional appearance for an event, please specify the name of the event, date, time commitment, address and what is being offered for the appearance.
Your answer
Will the interview or appearance be LIVE or Taped? *
Choose
Live (in-studio)
Live (by remote or virtual)
Taped (in-studio)
Taped (by remote or virtual)
Is there any type of musical performance also being requested or associated with the interview or appearance? *
What are the current dates & times of availability for the interview? If on-location or in-studio, please specify the exact address. *
Your answer
If known, what is the anticipated air date or publishing date of your interview? Are there any deadlines we must adapt to?
Your answer
Please feel free to provide any other details or information relative to your request that we need to be aware of.
Your answer
A copy of your responses will be emailed to the address you provided.