Tackle Community Speaker & Company Information Form

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- Step 1 of 3

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Speaker's Name *

First

Last

Email *

Job Title

How Would You Like To Record Your Interview *

• Go Live In Our Facebook Group
• Pre Record During A Zoom Call w/ Us
• Record A Message On Your Own & Email It To Us

We understand everyone is busy and not everyone likes to go live for interviews. We are flexible and can work with your schedule.

Speaker's Bio or Link To Bio

Speaker's Accomplishments, Features, Or Awards

Or anything specific that you would like mentioned.

Bio/ Fishing Pic(s) Upload

Click or drag files to this area to upload. You can upload up to 3 files.

We will use this photo to introduce you to the community and tell them more about you.

Next

Company Information

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Company Name

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Website / URL

Company Bio or Link To About Us Page

Company Accomplishments, Feature, Or Awards

Or anything specific that you would like mentioned.

Logo/Photo Upload

Click or drag files to this area to upload. You can upload up to 3 files.

We will use this photo(s) to introduce the Company to our community.

Next

Product Promotions

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Customer Discount Code

Good Til' Date

Exclusions

Giveaways or Samples

If you would like to donate an item or samples for giveaways, write a brief description and we can give you a call to discuss it or iron out the details

Other Ideas

If you have another idea for a promotion, or contents you want to run, let us know.

Submit

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