Booking Request Form: Sista's Social Service Segment on GovStuff Radio
Request for agencies wishing to be featured on Sista's Social Service Segment on GovStuff Radio. Please be considerate of others and only request to be on the show once per quarter.
Email address *
Please fill out the following form to request a slot on Sista's Social Service Segment on GovStuff Radio.
Sista's Social Service Segment on GovStuff Radio
Every Wednesday at 5:15pm.

Radio Station Location:
432 South Nova Road, Ormond Beach, Florida 32174

If you have any questions, please contact Mary @ WitsEndPhD@gmail.com

Please select your PREFERRED date. *
Remember, the show is only on Wednesdays!
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Please select your ALTERNATE date *
Remember, the show is only on Wednesdays! These slots often fill up fast, please choose 1 alternate date
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Agency Name *
Your answer
Agency Contact Person *
Your answer
Contact Phone Number
Your answer
Contact email address *
Your calendar invitation will be sent to this email address
Your answer
Any additional information?
This may include: topics to discuss, upcoming events, agency website information, notes, etc.
Your answer
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