MEDIA REQUESTS

Thank you for your interest in interviewing Tricia.

Your Media Outlet*
Program / Publication Title*
Name*

First

Last
Your Position / Title*
Email*
Phone*
Date you would like to interview Tricia*

MM slash DD slash YYYY
Interview Timeframe*
- I’m flexible, but would prefer a time between 8am – 10am Central Time.
- I’m flexible, but would prefer a time between 4pm – 6pm Central Time
- I need to request a specific time.
Deadline Date*

MM slash DD slash YYYY
Publish Date*

MM slash DD slash YYYY
Interview Location*
What are you interested in interviewing Tricia about?*
What is your CURRENT circulation/reach for your particular program/publication?*
Please describe the audience demographics.*
Please share any other details you'd like our team to know when reviewing your request. (i.e. If you are a radio station, newspaper reporter, magazine writer, freelancer, etc.)*
Privacy Policy*
- I agree
- I do not agree
We will never sell your data and promise to keep your data safe and secure. You can change your mind at any time by emailing hello@triciagoyer.com. By submitting this form, you are agreeing to having your submitted information stored. For further information on how your data is used and stored, see our privacy policy.