Disruptions With Purpose Guest Submission
We want to invite you to help contribute to this podcast by submitting a suggestion for a Disruptor (someone who displaces their current way of thinking to live a life worth living) you know who would be a great guest on the Disruptions With Purpose podcast.
Sign in to Google to save your progress. Learn more
Your Name
Your contact (email)
Name of person you're suggesting (if its not you)
In your opinion, what makes them or you a disruptor? Why message do you/they have that others would want to hear about?  
Would you prefer:
Clear selection
If you chose us reaching out to them, what is their email address?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ami Dehne. Report Abuse