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Radio Interview Request
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Radio Interview Request

What's your name?
What's your name?
What's your name?
What's your name?
What's your name?
What's your name?
What's your name?
What's your name?
Interview Request Form

To schedule an interview with Charles Hawkins for your talk show please fill out the online request form below. Within 24 hour you will be notify if your requested interview time is available,  if not we will provide you with alternative dates.

Your Station Contact Information:

Contact Name
Title
Station Name
 Phone Number
FAX
E-mail
City and State
Country

Talk Show Host Information:

Host Name
Name Of Show
Radio or TV Program
 Coverage Area
Estimate Listener Base

Please provided a guest call in information:

Will Host Be Calling Charles Hawkins
Station Main Number
Back-up Number Mr. Hawkins Should Call

Requested Interview Date:

-- mm/dd/yy

Requested Interview Start time (Central Time):

-- hh:mm:ss am/pm

Time Interview will end (Central Time):

-- hh:mm:ss am/pm

Is there any additional information you'll need before the show:


Please note,  if your interview has been accepted you will be notified within 24 hour via the email address you have provided.


 
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