Media Appearance Application
We get requests by the media almost daily and want to be able to give those opportunities to you. By filling out this form, you give us permission to pass along your contact info to verified media who are looking to interview you.
* Required
Name
*
This is a required question
Address
This is a required question
City, State and Zip
*
This is a required question
Phone Number
*
This is a required question
Email Address
*
This is a required question
Yelp Link
the URL address to your Yelp Business page
This is a required question
Tell Your Yelp Story
*
In a nutshell, what happened?
This is a required question
Have you lost business because of Yelp Reviews?
Yes
No
Hard to tell
This is a required question
Do you have negative reviews that are false that you can't get removed?
If you want help getting them removed we can refer you
Yes
No
Yes, and I'd like help getting them removed
This is a required question
Do you Advertise on Yelp?
Yes
No
This is a required question
If you do advertise on Yelp, has it been effective?
Yes
No
This is a required question
Anything else to add that would make the media want to cover your story?
This is a required question
Never submit passwords through Google Forms.
100%: You made it.