Skip to content
Facebook
Twitter
Instagram
LinkedIn
YouTube
The Dana Barrett Show
Show Notes
Listen/Watch
Pitch A Guest
Bizography
Speaking
Speaker Request Form
Events
About
In the News
Blog
Contact
Search for:
The Dana Barrett Show
Show Notes
Listen/Watch
Pitch A Guest
Bizography
Speaking
Speaker Request Form
Events
About
In the News
Blog
Contact
Search for:
Contact
Contact
dbarrett311
2017-12-31T17:24:46+00:00
General Inquiry
Book Dana for a Speaking Engagement
Pitch a Guest for The Dana Barrett Show
General Inquiry
Contact Us
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Organization
Phone
Your Question or Comment:
*
Book Dana for a Speaking Engagement
Speaker Request Form
Use this form to request pricing, or more information on having Dana at your event as a keynote speaker, emcee or moderator.
Contact Information
Date Submitted
Date Format: MM slash DD slash YYYY
Your Name
*
First
Last
Your Email
*
Enter Email
Confirm Email
Phone
*
Your Organization
Job Title
Event Information
Speaker Role Needed:
*
Keynote
Emcee
Moderator
Other
Other (Please describe):
Host Organization
Name of Event
Date
Date Format: MM slash DD slash YYYY
Event Date
*
Date Format: MM slash DD slash YYYY
Event Location
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Event Description
Event Format
Multi-Day Conference
Single Day Conference
Partial Day Event
Other
Other Event Format (Please Describe):
Expected Number of Attendees
*
Budget
*
How did you hear about Dana?
Additional Comments:
Pitch a Guest for The Dana Barrett Show
Radio Show Guest Pitch
If you've got a great idea for a guest on The Dana Barrett Show, we'd love to hear about it! Use this form to pitch a guest and keep in mind that the more information you provide, the more likely it is you will get the interview!
Guest Information
Please enter contact, social media and company information for the guest who will be appearing on the show. If there is more than one person coming from the company, please complete a separate form for each person. THIS SECTION IS FOR THE INTERVIEWEE INFO. PLEASE DO NOT ENTER THE PR REPRESENTATIVE DETAILS HERE. THERE IS A SPACE FOR THAT BELOW.
Guest Type:
*
Please select the type that most closely relates to the focus of the interview you are pitching. (e.g. if you own a company and are an author, but want to come on the show to talk about your book, choose "Author").
Business Owner or Representative
Non-Profit Director or Representative
Association Director or Representative
Actor/Musician/Entertainer/Athlete
Author
Guest Name:
*
First
Last
Guest Email
*
Enter Email
Confirm Email
Add Guest to Dana's eMail List for event invites, and updates?
*
Yes
No
Guest Phone
*
Please enter the phone number where we can reach the guest on the day of the interview. We will not call for any other reason and we will not share the number.
Job Title:
*
Company/Organization
*
Profession:
Please list athlete, singer, actor, or similar.
Book Title
*
Publisher:
*
On Sale Date:
*
Date Format: MM slash DD slash YYYY
Number of Book Published (Total):
*
Link to Book:
*
Website
*
Twitter:
*
Facebook:
*
LinkedIn:
*
Is the guest local (Atlanta Metro)?
*
Yes
No
Will the guest be traveling to Atlanta?
If the guest you are pitching is not local, but will be traveling here and you'd like to request an in-person interview on specific dates, please select YES. For a phone interview, please select NO.
Yes
No
Requested Dates:
*
Please list the date(s) the guest will be in town and available for an in-person interview.
Guest Bio (Short):
*
Company/Organization Description:
*
Book Summary:
*
Relationship to Guest:
*
I'm the guest!
In-House PR
PR Agency
Friend
No Relation
Your Info
Your Name
*
First
Last
Your Phone
*
Your Email
*
Enter Email
Confirm Email
The Pitch
We are looking for guests who can talk about current events or relevant topics to the business and tech community. Your best chance to get a guest spot on the show is to pitch a good story, not just an infomercial about your company or an announcement about an event.
Desired Segment
Is there a particular segment on the show you think the guest would be perfect for?
Any
Tech Tuesday
Women on Wednesday
Small Business Spotlight
StartUp Central
Atlanta Insider
Other
Pitch/Story Angle
*
Please tell us what you'd like to talk about on the show!
Talking Points for the Interview:
Please share any details you want us to have for the interview. We do not guarantee that we will cover anything you list here, but will use it as a guide.
Are You Promoting an Event?
*
Yes
No
Link for Event Tickets:
*
Plugins Wordpress
Themes Wordpress
Documents Wordpress