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Love Is Black Guest Form
Please fill out all questions and details and submit for review to be chosen as a guest on the Love Is Black Podcast. We will contact you within 1 week if you are chosen. Thank you for your interest!
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Best contact e-mail address
*
Your answer
Current relationship status?
*
Married
Dating
Situationship
Divorced
Other:
How long have you been in your current relationship? Or how long was your previous relationship?
*
Less than 1 year
1-3 years
4-8 years
9-15 years
15+ years
Are you or your partner black or of African-American decent?
*
Yes, both
No, just me
No, just my partner
What topic or topics do you feel you would be able to bring a valuable conversation to?
*
Your answer
Do you have a business, product, service, or otherwise that you would like to promote?
*
Yes
No
Maybe
If you answered yes to the above question, please provide a link to a website for your desired promotion.
Your answer
How did you find us?
*
Your answer
Send me a copy of my responses.
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