Please select which type of interview request you are requesting.
Select whether your interview has a deadline, a specific shoot date, or is an open invitation.
Fill this out ONLY if the Interview has a Set Shoot Date, or if a Deadline applies.
Please include the following info:
• Territory/Coverage Area
• Email/Phone/In Person
• Number of Readers/Viewers/Listeners
• Interview Angle
Please include other relevant information such as:
• a description of your company, publication, or show.
• other Contact Info (phone #, address, etc)