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Do you have an inspiring story that people need to hear? Were you able to overcome some tremendous obstacles and you want to tell the world?

Complete the form below and if it looks like a good fit someone will follow up with you shortly.

[contact-form to=’ericaempowers@gmail.com’ subject=’RE: Be On The Show Inspirational Story’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’What is your story? ‘ type=’textarea’/][contact-field label=’Why do you think that viewers need to see your story?’ type=’textarea’/][contact-field label=’What is the best way to contact you if we are interested in featuring you as a guest?’ type=’text’/][contact-field label=’Is there anything else that you believe we should know?’ type=’text’/][/contact-form]

*By uploading and submitting the photo(s), video(s) and any other materials (“Materials”), you agree that the Materials become the sole and exclusive property of Producer and will not be returned, and you submit to the Submission Terms and Conditions found and incorporated HERE. You agree that Producer may, but is not obligated to, use the Materials in connection with the Program, in all media now known or hereafter developed, worldwide, in perpetuity. Further, you represent and warrant that: i) all Materials are 100% original; ii) the Materials do not violate any third parties’ rights of privacy, publicity, or constitute a defamation against any person or entity; iii) that the Materials will not infringe upon or violate the copyright or common law rights or any other rights of any person or entity; and iv) that you are at least 18 years of age and the person depicted in the Materials. You agree to indemnify Producer and broadcaster for all damages and expenses (including reasonable attorney’s fees) arising out of any breach or failure of the warranties made herein.

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