Form Test Podcast Guest Application Name * Name Name Last Last Business Name * Email * Website/URL Facebook URL Instagram URL Any Other Social Links? List at least 2 topic ideas that would resonate with my audience. This can be related to online business, operations, systems & processes, productivity, leadership mindset, running the business, etc. * List 3-5 sample questions related to your topics above that I could ask. (These will just be guides). * Do you agree to use an external microphone or at the very least a headset so that we will have optimal sound quality? * I agree I do not agree and forgo my interview Do you agree as a guest of the Mad Couch Cast, to share your interview across your social media channels, email list, and community within 48 hours of publication? (You must have at least one of the above options to be a guest). * I agree to share my interview across my social media, email list, and community within 48 hours of publication I do not agree and forgo my interview Have any audio samples or a podcast one-sheet that you'd like to submit? Upload them below. Drop a file here or click to upload Choose File Maximum file size: 52.43MB Is there anything else you'd like us to know or consider before our interview? By submitting this form, I agree to allow Mad Couch Company, LLC to record and distribute the podcast episode in the matter they choose & to retain rights to the produced media for possible future use. If you are human, leave this field blank. Submit