Get Pregnant Now Summit Form – Get Pregnant Now

About You

I am interested in being Interviewed On

Virtual Summit January 18-19 2025 (PRE-Recorded Interview)

First Name Last Name

Email

Website

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

BIO

Headshot

Max. file size: 3 GB.

Links to Your Website & Social Media Accounts

About Your Interview

Title of Your Interview

In short describe how you help those struggling with infertility

FREE GIFT

We suggest you give away a free gift to build your email list during this event. You cannot give away free sessions or consultations. We have found the most effective on past events are checklist, quizzes eBooks and videos.

YOUR FREE GIFT TITLE

FREE GIFT IMAGE

Max. file size: 3 GB.

Description of the Gift

YOUR FREE GIFT LINK

About Your Audience

To have the biggest reach it is important we all work together in collaboration and everyone does their part in this event. By asking these numbers I will respect your privacy 100% with these numbers. We just want to understand how far our reach is.

How many people are on your email list aprox? ( And what is your aprox open rate)

We do not have a list size requirement we just need to know aprox list size to know our reach of the event.

What date do you agree to send your first solo email promo?*

One solo email between during the first 2 weeks of promotions

I will send 2 Solo emails

Yes
No

What dates do you agree to send your second solo email?*

One solo email the day before your interview

How many Facebook followers do you have?

How many Instagram followers do you have?

Would you like promotional copy for IG Stories?

Yes
No

How many YouTube followers do you have?

How many Twitter followers do you have?

How many Pinterest followers do you have?

What dates do you plan social media promotion?*

How Many People Listen to Your Podcast?

Will you be promoting this even on your podcast?*

Communication Preference

Who do you prefer we communicate with?

Myself
My Assistant

Assistant's Name

First Last

Assistant's Email

Assistant's Phone

Legal Stuff

Consent*

I agree to the following

I hereby expressly grant to Saskia Roell (Host) the right to use photos and/or audio and visual impressions (“impressions”) of me recorded by or provided by me to Saskia Roell , in connection with or as part of the Get Pregnant Summit presentation. be legally bound, hereunto set my signature below.

Permission to Post My Bio/Images/Interview

YES
NO

I give Saskia Roell / Get Pregnant Now the permission to post my bio, images, interview for the Get Pregnant …Even If You’ve Tried Everything Virtual Conference

Do you consent to the interview being recorded via audio (Instant Telseminar) without compensation.

YES
NO

I consent to the interview being recorded in timely matter

YES
NO

You agree to help reach as many people as I can who are struggling with Fertility Issues by:*

Promoting Via 2 SOLO Emails to my List
Promoting Via Facebook
Promoting via Instagram
Promoting via Pinterest
Promoting via Twitter
Promoting via Podcast

What dates will do you commit to emailing your 2 email promotions:

In order to be fair to all of the participants in this event I agree to promote this event in accordance to what is asked of me

YES
NO
I may or I may not

I agree that SASKIA ROELL / GET PREGNANT NOW have permission to post my bio, images, interview for Virtual Summit as part of any promotional material surrounding this event. I also agree this information can be used for any commercial, educational, and informational purposes in form of a package for-sale that people who can not attend this event live may choose to purchase.

YES
NO

The electronic signature indicates you are within full compliance in the terms and request stated above.*

Date

Do you have any questions or concerns about this event you need addressed?

Could You Help Me?

Do you know anyone else that would be a good fit for this event?

Name

This field is for validation purposes and should be left unchanged.