Apply to be a Guest on Real-Talk with Liza

Your Contact Information

Name *

First

Last

Email *

Mobile *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Tell Us About Yourself

Business Name

Title

Website / URL *

Short Bio *

One or two paragraphs

When did you start your business?

Do you have a headshot *

Yes
No

Your headshot should be at least 2000 x 3000 pixels with a maximum file size of 512 MB

Headshot *

Click or drag a file to this area to upload.

Your headshot should be at least 2000 x 3000 pixels. The maximum size is 512 MB.

Do you have a logo? *

Yes
No

Your logo should be no larger than 250 x 50 pixels. A smaller image will lose legibility and quality when stretched.

Upload your Logo

Click or drag a file to this area to upload.

Your logo should be no larger than 250 x 50 pixels.

What obstacles or challenges have faced or overcome?

What are you most proud of?

For the Show

Are there any specific questions you would like Liza to ask you?

Social Media

Please put your social media links here.

Facebook

Instagram

Guest *

I want to be on Real Talk with Liza

Please check to confirm

Book Application Interview?

Yes, book my application interview

You may book your application interview after this form submits.

Your Contact Information

Tell Us About Yourself

For the Show

Social Media

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Your Contact Information

Tell Us About Yourself

For the Show

Social Media

Phone - (818) 551-1501

Email - [email protected]

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