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* 1. Your name

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* 2. Your email

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* 3. Daytime phone (area code & number no spaces between)

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* 4. Where are you based?

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* 5. Preferred method of contact

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* 6. Company Name / Organization / Podcast Name

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* 7. What type of podcast is it (ie... comedy, news/politics, sports, etc..)?

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* 8. What your web address?

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* 9. What is the podcast RSS url?

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* 10. What your company's FACEBOOK address?

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* 11. What your company's TWITTER address?

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* 12. What your company's INSTAGRAM address?

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* 13. Please upload your company's logo

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* 14. What area(s) does your podcast appeal to?

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* 15. What can the Radio Button Network help with?

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* 16. Are any of these premium services of interest

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* 17. What else do we need to know?

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