Contact

General Inquiry

Contact Us

Name*
First Last
Email*
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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*
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Phone*
Your Organization
Job Title
Event Information
Speaker Role Needed:*
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 Country
Event Description
Event Format
Other Event Format (Please Describe):
Expected Number of Attendees*
Budget*
How did you hear about Dana?
Additional Comments:

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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").
Guest Name:*
First Last
Guest Email*
Enter Email Confirm Email
Add Guest to Dana's eMail List for event invites, and updates?*
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)?*
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.
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:*
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?
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?*
Link for Event Tickets:*

Save and Continue Later

General Inquiry

Book Dana for a Speaking Engagement

Pitch a Guest for The Dana Barrett Show

General Inquiry

Contact Us

Book Dana for a Speaking Engagement

Speaker Request Form

Contact Information

Event Information

Pitch a Guest for The Dana Barrett Show

Radio Show Guest Pitch

Guest Information

Your Info

The Pitch