Let’s Register – Real Talk with Liza Boubari Show

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Let's Register

Together we make a difference. Thank you for your interest in becoming a guest and/or sponsor on Real-Talk with Liza. Please fill out this form to the best of your ability. Contact us if you have any questions.

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Your Contact Information

First Name

Last Name

Mobile

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Tell Us About Yourself

Business Name

Title

Website / URL

Short Bio

One or two paragraphs

When did you start your business?

Do you have a headshot

Your headshot should be at least 2000 x 3000 pixels with a maximum file size of 512 MB

Do you have a logo?

Your logo should be no larger than 250 x 50 pixels. A smaller image will lose legibility and quality when stretched.

What obstacles or challenges have faced or overcome?

What are you most proud of?

How did you hear about us and who referred you?

For the Show

Are there any specific questions you would like Liza to ask you?

Social Media

Please put your social media links here.

Facebook

Instagram

Please confirm

All of the above is correct

Please check to confirm