Get Pregnant Now Virtual Summit With Saskia (1)
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
BIO
Headshot
Max. file size: 512 MB.
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: 512 MB.
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
MM slash DD slash YYYY
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?
Phone
This field is for validation purposes and should be left unchanged.
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