Women Lead Radio Show Guest Information Form Date of Your Radio Show: Your Radio Show Host:* Your Name:* Your Title:* Your Company Name:* Your Email:* Your Phone:* Your City:* Your State:* Your Web Site, OR one URL that you would like posted in the show description:* What areas of focus would you like your host to focus on during your interview?* What questions would you like your host to ask you during your interview?* Do you have any news and/or accomplishments your host should know about before your interview?* Are there any topics you want us to avoid during your radio interview?* Anything else that we should know that's important for your radio show interview?* Upload Your Professional Picture (optional) Please Provide a Brief Professional Bio (one paragraph or less) (optional)*SubmitReset Attend An Event As Our VIP & GuestJoin Us!