Let’s Register – Real Talk with Liza Boubari Show

Please enable JavaScript in your browser to complete this form.

Let's Register

Together we make a difference. Thank you for your interest in becoming a guest and/or sponsor on Real-Talk with Liza.TV. View the Media Kit. Please fill out this form to the best of your ability. Contact us if you have any questions.

Please enable JavaScript in your browser to complete this form.

Your Contact Information

First Name *

Last Name *

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 *

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? *

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?

How did you hear about us and who referred you? *

For the Show

What gift do you have for our audience *

A gift could be an e-book, recording, course, or other services

Do you have your own 15 to 30 second commercial? *

The commercial should be from 15 to 30 seconds in length at 1080 p.

Would you like Heal Talk with Liza TV to make a commercial for you? *

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

Sponsorship

Sponsorship has many perks. Find out how different Sponsorship Levels can benefit you.

Would you like to be a sponsor? *

Yes
Yes, with commercial
No

Payment

Guest Options

Guest Appearance - $300.00
Heal Talk TV Commercial? - $300.00
Platinum Sponsor - $10,000.00
Gold Sponsor - $5,000.00
Silver Sponsor - $2,500.00
Silver Sponsor with Commercial - $3,000.00

Sponsorship Only

Platinum - $10,000.00
Gold - $5,000.00
Silver - $2,500.00
Silver with Commercial - $3,000.00

Total Due

$0.00

Your payment will be processed by PayPal