Mompreneurs Podcast
Thank you for your interest in being on my podcast. Please take a minute to fill out the form and we will contact you to discuss the opportunity. 
Name *
Email *
Phone number *
Industry you are in? *
What is the name of your company? *
Describe your company *
If you were chosen to be on our podcast, what would you discuss?  *
Describe your company *
What is one piece of advice you'd give to our listeners on how to balance being a Mom and being an Entrepreneur? *
Have you listened to any of our podcasts? Which one did you like?  *
What topic or theme do you want to discuss on our podcast?  *
What are three key accomplishments or projects you're proud of related to your expertise? *
What unique perspective or insight can you bring to our podcast? *
What is your availability for recording the podcast?  *
Are you willing to actively promote the podcast episode on your social media channels and website?  *
What is your website?  *
Is there anything else you'd like us to know or any questions you have about the podcast interview?  *
Give three topics you'd like to hear on our podcast. *
Thank you for taking the time to complete this form, we look forward to talking with you soon! Please let us know if you have anything else to add. 
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