Guest Interview Request Form

1.Contact Person
First & Last Name:*
2.Contact Numbers
3.Contact Email Address
4.What date would like to appear on Good Morning ArkLaMiss?
Month* Day* Year*
5.If you are open to other dates, select an option below.
6.Which interview time slot do you prefer?*
7.How many guests will participate in the interview? Include yourself, if applicable. (If more than three, please call 318-998-4922 between 7 am - 9 am. or email )*
8.Please list their names and titles.
Guest 1 Name:*
Guest 1 Title:*
Guest 2 Name:
Guest 2 Title:
Guest 3 Name:
Guest 3 Title:
9.Will you be including a performance as part of your appearance on our show? If so, please select the type of performance. (If using music, you must have permission or performance rights. You may only use a CD if you bring a CD player with you. We only have access to a Bluetooth speaker in the studio.)*
No performance
Playing an Instrument
Other (please specify)
10.If you are cooking a recipe, please list the needed ingredients and directions so we can share them with our viewers.
11.If you are cooking a recipe, please include detailed directions so we can share them with our viewers.
12.If you’re promoting an event, please fill in the following details:
Event Name
Public Contact Info
More information
13.Please list three questions that you would like to be asked during your interview.
Question 1*
Question 2*
Question 3*
14.Please enter your date of birth.
Month* Day* Year*

15.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
* represents required fields

We will contact you to discuss your interview request. Once date and time are confirmed, you will receive an email with pertinent information regarding your interview.

**The FCC requires KNOE to provide closed captioning to better serve the hearing impaired. All interview guests MUST provide text that will be used for closed captioning. Failure to provide this information will result in the cancellation of your interview.

Thank you for your interest in appearing on Good Morning ArkLaMiss.

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