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.


  • Name of Business

  • Guest 1: First Name and Last Name

  • Guest 1: Job Title

  • Guest 1 Email

  • Optional Guest 2: First Name and Last Name

  • Optional Guest 2: Job Title

  • Optional Guest 2: Email

  • Address of Business

  • Phone Number of Business

  • Website of Business

  • Twitter Handle of Business

  • LinkedIn Page of Business

  • Paragraph (300-350 words) about your Business. Please consider this an opportunity to promote your business, so include key search words within your description that align with how you want Google to find your business. You can use your interview questions as a guide or write a more detailed business description with a different focus.

  • Please list 4-6 interview questions you wish the host to ask you during your 8-minute TV interview.

  • Upload your large format logo for the show. A large format PDF is preferred. IF you have an EPS file of your logo, please email it directly to Tim Bachleda (tbachleda@nctv17.com). The higher the resolution, the better. A small thumbnail will not work as it will pixelate on TV.

    Drop files here or
    Accepted file types: eps, ai, jpg, gif, png, pdf.