WTOE Radio Show Guest Application

Form Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

FORM UPDATED: 9/10/10 For JAWS users: If you get an error message when you try to submit this form please RE-READ the entire form. USE YOUR ARROW KEYS. The ERROR will be stated at the missing / incorrect field. FOR ALL USERS: This form MUST be filed NO LATER THAN 10 days before show air date. PLEASE READ "WARNING MESSAGE" AT BOTTOM OF THIS PAGE BEFORE SUBMITTING

* Name (MANDATORY)

* Company/Organization OR none (MANDATORY)

* (MANDATORY) Title/Position: For video presentation purposes what you enter here will be displayed on the lower third of the video screen). It will identify you with your Name and any other information you enter here. eg. President, Director, etc. If no 'official' title then a few words which describe why you are on the show.

Website Link(s) if applicable:

We simulcast our radio shows using video on several different web sites. We strongly encourage our guests to use their webcam via SKYPE. if you have a webcam please consider participating using your camera.

* (MANDATORY) I will / will not participate via VIDEO ON SKYPE

If you indicated that you will participate via SKYPE VIDEO you MUST enter your screen name and complete a procedure in the fields which will become visible below.

I will participate via SKYPE Video

I will NOT participate via SKYPE Video

* (MANDATORY) SKYPE Username: If you checked above that you will participate via video on SKYPE, enter screen name here. WEBCAM USERS ONLY!

IMPORTANT **PLEASE READ CAREFULLY** Click the link below to request to be added to WTOE Radio's Skype contact list. (Note: your Skype should be running on your computer BEFORE you click the link). We MUST add each other to our Skype contact lists in order to be able to connect during show night. This link will allow you to "Request to be added" to our contact list. THEN YOU WILL HAVE TO WATCH YOUR SKYPE to see when you were added to our list. You will receive an automated email with further instructions after you submit this entire form. Make sure you check your SPAM folder if you do not receive an automated email reply!

Click to add WTOE Radio to your contact list

* I have attempted to add WTOE Radio to my Skype contacts and:

I was successful

I was NOT successful and will contact my show host

* Brief Biography (300 hundred words or less): This box will expand to acommodate a larger Bio.

0/300 words

*

Attach a picture of yourself. For video presentation purposes we display a picture of you intermittently while you are interviewed. Attach a recent photo of yourself here. IT IS NECESSARY THAT YOU SUPPLY A PHOTO. If you DO NOT ATTACH A PHOTO HERE you MUST email one to your SHOW host / producer. If you choose to email a photo you MUST send it no later then 10 days BEFORE show air date!

I will attach a photo of myself here

I will email a photo of myself to host/producer

Attach a picture of yourself.

* Interview Line # (the telephone number we call to conduct our interview with you) MUST BE LAND LINE PHONE. No cell or cordless phones please! **NOTE** ALL SHOWS ARE RECORDED DURING EASTERN STANDARD TIME** SKYPE VIDEO USERS: You still MUST enter a phone number here in case we are unable to connect with you on SKYPE on the night of the show.

List of questions (These questions will allow your show host to target the information you would like others to know about your company/organization, and the programs, services, and or products in which you provide):

* Please indicate which show you will be appearing on as a guest:

* (MANDATORY) Please enter the email address with which we will be communicating with you. This address MUST be the same address for both this form and our Audio / Video Release Form.

* (MANDATORY) If you or your organization has online video, audio, pictures, PowerPoint presentation, or your book on Amazon.com etc. please enter the EXACT URL's here. Or, alternatively, email them to your show host / producer. (If none indicate same).If you would like to leave us a message or suggestions, enter it here:

To help us get our message to as many people as possible, would you allow us to put a link to our Radio Shows on YOUR web site?

Yes, I'd like that!

No thanks

Tell me more please

If you would like to donate a modest amount to www.thruoureyes.org we will create a 30 second commercial which will be inserted in ALL our LIVE shows AND podcasts. If you would like more information indicate your response below:

YES - Please tell me more

No - No thank you

Thank you for deciding to be a part of the WTOE Radio Network. When you click the SUBMIT BUTTON below you will be taken to a final page where you will be given additional information. Thank you again!

WARNING: You MUST submit a CORRECTLY completed form. Leaving "Mandatory" fields blank and still submitting this Form will cause your show host to NOT receive your information, you will not be forwarded to our "Success Page" where you would receive additional information, and you therefore WILL NOT BE CONSIDERED AS A GUEST for this show. Please DO NOT submit this form with 'Mandatory" fields unanswered. We appreciate your attention to this matter. - Thank You -

* Indicates Response Required