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. VALUE="http://www.YOURLINK.com">
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):
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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