Talk 4 Media
Talk 4 Media Requests
Please fill out this form so we can honor your request for additional information. All fields are not required so just fill in what you desire. Of course, the more details you can provide will enable us to help you better. Have a phenomenal day!
Primary Contact Name
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First
Last
Business name (if applicable)
Industry, Product, Service Type
Your Business Title
Owner
Entrepreneur
Manager
Marketing Rep
Publicist
PR Agent
Author
Speaker
Trainer/Coach
Salesperson
Radio/TV Host
Other
Primary Contact Email
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Primary Contact Phone
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Primary Contact Alternate Phone
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Website
Primary Contact Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
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Barbados
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Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
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Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
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Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
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Congo - Kinshasa
Cook Islands
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Dominican Republic
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El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
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Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
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Grenada
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Guinea
Guinea-Bissau
Guyana
Haiti
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Honduras
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Hungary
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Iran
Iraq
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Isle of Man
Israel
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Laos
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Lesotho
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Libya
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Lithuania
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Republic of North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
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North Korea
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Norway
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Poland
Portugal
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Romania
Russia
Rwanda
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San Marino
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Serbia
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Somalia
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South Korea
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Spain
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St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
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St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
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U.S. Outlying Islands
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United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
What Service(s) are you interested in? (Check All That Apply)
Host or DJ a Live Radio Show
Stream a Live TV Show
Become a Featured Radio/TV Podcast
Enter To WIN Prizes/Giveaways
Get Your Show on iHeartRadio, Pandora, Amazon Music, Spotify, Audible
Podcast Production & Distribution/Syndication Subscribe
Enter To WIN Prizes/Giveaways
Podcast Production & Distribution/Syndication
Become a Sponsor
Marketing Packages
Radio Advertising
Digital Advertising
Magazine Advertising
Social Media Marketing
Internet Marketing
Blog Marketing
Email/Mobile Marketing
Video/Audio Pre-Roll Advertising
Geotargeting/Geofencing
Commercial/Infomercial Production
Media Coverage
Event Planning
Event Promotion
Live Remote Broadcasts
Media Placement
PR/Publicity/Promotions
Author Packages
Feature Your Book/Audiobook
Speaker Packages
Become a Featured Speaker
Artist Management
Web Hosting
Web Development
Graphic Design
Speaking/Training/Coaching/Consulting
Support
How soon do you need these services?
ASAP
1-2 weeks
1 month
3 months
6 months
1 year
Undecided
Have you hosted a radio show before?
Yes
No
Do you currently have a radio show or podcast?
Yes
No
Please tell us about your goals, needs, and target market.
How did you hear about us?
Questions or Comments
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