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EVOLV PODCAST
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Full Name
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First Name
Last Name
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E-mail
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Phone Number
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Area Code
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Please select your topic
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Provide a brief description in the appropriate field below.
Transformation Story
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Entrepreneur
All of the Above
Transformation Story
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Entrepreneur
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Book Title and Brief Overview less than 15 words
Business Name and Overview
Brief summary of Transformation Story less than 25 words
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Please insert bio here (No more than 200 words)
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Please list all social media handles
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Podcast Terms and Condition
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As a Guest of the above-named podcast (“Podcast”), I consent to the audio and video recording of my voice, name, and image as part of my appearance on the Podcast. I further consent to the distribution and broadcast of my appearance, including any information and content I provide, by Chanel Spencer LLC, Inc, DBA as Maximum Evolution (“Podcaster”) in audio, video, or text form without restriction. I further acknowledge and agree: (a) I will receive no monetary compensation for my appearance. The consideration I receive for executing this release shall be the exposure I receive to the audience of the Podcast. (b) I am granting the Podcaster a non-exclusive, royalty-free, perpetual, worldwide license to publish any copyrighted work I supply as part of my appearance on the Podcast.
I have read and understand
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