1. Please provide us with the following information.

First and Last Name:

City/Town:

State/Province:

Country:

Website URL:

Email Address:

Telephone:

2. Please select which of the following reasons you want to become a podcast host on the eWN Podcast Network. (You may select more than one answer)

I want more exposure for my business.

I want the additional platform for marketing my business.

I am interested in making new connections through guests I have on my podcast.

I want to get more comfortable speaking on a public platform.

Being part of eWN Podcast Network will give me the exposure to a targeted audience of women entrepreneurs.

Being part of eWN Podcast Network will give me more credibility than if I was doing a radio show or podcast on my own.

I always wanted to have my own podcast.

Other (please specify):

3. If you have a title for your podcast, what would it be?

4. When would you realistically like to start your first podcast?

5. Briefly, describe your podcast show. What's it about?

6. Have you ever hosted a radio show or podcast before?

Yes

No

If yes, please explain what your show was about, how long it lasted, why you stopped it (if applicable):

I understand there is an annual production marketing and promotion fee of $5,640 if I am selected to host my own podcast. I understand that this fee can be divided into four payments or I may elect to pay all at once.

I choose the four payment fee (one payment now of $1,510 and a $1,510 payment every other month)

I choose the pay all at once ($5,640)

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