Application to be a Guest onthe Patrick Bass Show Submission of this guest application indicates that you have read and agree to the Guest Release. Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Website * http:// Provide your social media URLs and indicate number of verifiable followers/subscribers * About You * Guest Bio written in third person About your proposed episode * What will the focus of your guest appearnce be? Provide as much detail as possible. Specific questions * List any specific questions you'd want Patrick to ask: Off-topic * Are there any topics you do not wish to discuss on the air? If so, please indicate the topic. Thank you!
