Thank you for your interest in Elephant Talk!
Fill out our brief questionnaire to be considered for the show.
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What are your names? *

Please provide your first and last names.
 
What are your ages?

 
Are both you and your partner willing to be interviewed for a radio podcast?

     
 
What is the current status of your relationship?


 
Which email address should we use? *

Don't worry - we aren't going to spam you.
 
What is your phone number?

We will use this for our pre-interview.
 
In what city do you live?

 
Why do you want to participate in this recorded conversation? What might be an outcome of it?

Thank you for your interest in Elephant Talk! We are excited to hear from you.
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