Talent Request Form

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WILX invites you, as a representative of your organization, to submit your request for any WILX talent by using the form below. Once we receive your request, WILX will then work to set up an appearance by one of our talent.

Please understand that WILX receives hundreds of requests, and makes many hundreds of appearances throughout the year. The station may not be able to secure someone due to prior scheduling or other conflict.

Requests must be received two months in advance in writing via this form. Thank you for considering WILX.

1.Today's Date
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2.Name of Your Organization
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3.Contact's Name
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4.Phone Number
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5.E-mail Address
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6.Organization's Mission (15 words or less)
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7.Event Description*
8.Date/Time/Location/Duration of Event
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9.Expected Number of Attendance
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10.Requested Speaker*
11.Speaker's Duties (Master of Ceremonies, Honorarium, etc.)
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12.Please enter your date of birth.
Month* Day* Year*

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

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