Halt the Harm Podcast Booking

We're excited to share your story with listeners of Halt the Harm Podcast. These questions help us prepare for the interview.

At the end of the form you can choose the date and time for your interview. Thanks!

Name *

First

Last

as you'd like to be called during the interview and introduction.

Phonetic Spelling

Please help me pronounce your name correctly

E-mail *

Phone *

A Photo for the episode

Or we use the photo on your www.halttheharm.net profile.

Skype ID

Just in case you have a fancy microphone and want to record on Skype

A short bio (50 words) *

This is how we're going to introduce you on the show.

Is there a specific story you'd like to share? *

What is the most important message you want our listeners to take away from your interview? *

Anything you don't want to talk about?

I respect your privacy. If there's anything you don't want mentioned, simply let me know. No questions asked.

Your Website

Where can our listeners find out more information about you and your work?

Any other links related to your work?

Social profiles, campaigns, or other stuff about you besides your website you want us to share.

Additional Resources / Links

any links or recommendations you'd like to share with our audience? Please list them here.

Anything Else?

notes or comments.

PEOPLE POWERED AGAINST THE HARMS OF FRACKING

Halt the Harm Network is supported by Netcentric Campaigns.