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Interview Request Form

Thank you for your interest.  We will do our best to respond promptly with information about availability.

Your Name (required)

Your Email

Name of journalist and publication, show, or network

Specific request (for phone or e-mail interview, guest appearance on show, etc.) and overview of topics to be addressed in interview

Proposed date and time of broadcast interview or deadline for print journalist

Contact information of journalist if other than originating e-mail address