Registration for Interview

Name*

Title*

Show/Program name*

Station call letter

Station address

Your address (City, State, Zip code / postal code)

Country*

Phone

Website(s)* (e.g. https://www.Israel120.com) Please include “https://” or “http://” in your website URL.

Mission Statement / Purpose of your Organization

Email address (must be a professional address)*

What types of topics do you prefer to interview Nathanael-Israel Israel for?

Date of the interview

Your budget (how much you will pay us) for this interview*

Is it live or taped?

Is it in person or over the telephone?

What is the time zone of the location?

Is it an interview alone or with others?

Will listeners phone in?

What is the length of the interview?

Any other details we need to know?