In order for us to promote your business on air and online, the following information is required. Please type the information in the boxes below EXACTLY as you wish for it to appear.  Please use a desktop or laptop to fill out the form. iPhones and iPads are not compatible to attach your logo to the form.

"*" indicates required fields

Name of Company

Guest #1 Name*

Guest First Name and Last Name

Guest 1: Company Role (President, CEO, Founder, etc.)

Optional Guest #2 Name

Optional Guest First Name and Last Name

Company Guest 2: Company Role (President, CEO, Founder, etc.)

Website of Company

Please provide an overview of your company (no less than 350 words) that will accompany your interview video on NCTV17's website. This as an opportunity to promote your business, so include key search words within your description that help Google find your interview and include page links to your website, where appropriate. It is helpful to break up your article into sections with a subheading to help guide the reader.

Provide the 4-6 questions your company wants to be asked during the interview. Include the name of the guest who will answer each question. If you're doing an in-studio interview, we encourage you to order your questions so you go back and forth between guests to make your interview conversational. If we're on location and each guest is speaking to a different area of the business, we can start with one guest, then move to the other.

Email of the contact person coordinating guests for this interview.

Upload your large format logo for the show. A large format PDF is preferred. The higher the resolution, the better. A small thumbnail will not work.

Accepted file types: ai, jpg, pdf, png, jpeg, Max. file size: 256 MB.

Company's LinkedIn Handle

Upload up to 6-10 hi-resolution images (at least 300 pixels per inch (ppi)) for possible use during your interview. Please make sure the images correspond to points you plan to cover in your interview. I.e. If you plan on talking about the grand opening of a new facility, please send images or renderings of the new facility. Photo usage is at NCTV17's discretion.

Drop files here or
Accepted file types: jpg, gif, png, pdf, eps, Max. file size: 256 MB, Max. files: 6.