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The PETX Podcast Spotlight Application

SECTION 1: CONTACT INFORMATION

Full legal name

*

Preferred name

*

Pronouns

*

Email address

*

Phone number

*

City and state

*

Time zone

*

What is your preferred method of communication?

*

A

Email

B

Phone call

C

Text message

Business or organization name

*

Professional title or role

*

Business website

*

Instagram URL or username

*

TikTok URL or username

*

LinkedIn URL

*

Facebook URL

*

YouTube URL

*

What is the primary social media account you would like us to tag when promoting your episode?

*