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1. Full Name

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2. Business name

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3. Email and Phone number for records and future communication (Will not share)

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4. Please provide a short (50 or so word) bio of yourself

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5. If you enjoy our episode are you willing to let me share content centered around it to my social media outlets?

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6. Link to your Instagram (if applicable)

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7. Link to your Facebook (if applicable)

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8. Link to your website (if applicable)

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9. Please share any upcoming plans or projects from your business you would like to promote (I will also give you a chance at the end of our episode)

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10. Are you willing to talk about how your personal life and different events have effected you and your business

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