Social DeTalks Podcast guest speaker application
Tell us about how you will add substance to the life of the listeners of our podcast
Email address *
First and Last Name *
Prefered Pronoun
Telephone Number *
Business Name / Job Title
How did you hear about our podcast?
Please select ALL the options that best apply to the content you will be addressing
Give us a short explanation of what you would like to talk about *
Please check the following that apply
Would you like to be added to Mind Online's Newsletter.
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If yes please leave your email below.
Any topic you would like to ensure we do NOT talk about with you?
If chosen briefly provide an introduction
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