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Speakers / Talent Request Form

FOX 4 invites you, as a representative of your organization, to submit your request for any FOX 4 talent by using the form below. Once we receive your request, you will receive an email notification of receipt of your request. The Bureau will then take your request under advisement, and contact you accordingly.

Please understand that FOX 4 receives hundreds of requests and cannot accommodate every one.

Requests must be received two months in advance in writing via the website. Only one request per organization per event please. Thank you for considering FOX 4.

1.Name of Organization*:
*
2.Event Description:*
3.Expected Attendence at Event*
*
4.Date/Time
*
5.Location/Duration of Event:
*
6.Speaker's Duties:
*
7.Length of Appearance:
*
8.If this is a fundraiser, to whom does the money go?:
*
9.Any additional information you think FOX 4 should know:*
10.Enter your question here.
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone
11.
Street Line 1*
Street Line 2
City*
State*
Zip Code*

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