Terms and Conditions: I understand the Expert Interview™ is available on a limited, and first-accepted basis, and although I submit this application, it may be declined or returned to me for any reason. The show host and producer accept experts whose products and services, issues and causes fit the show's mission. Show host or producer reserves the right to decline sponsorship from any individual, group, business or organization for any reason whatsoever. These offers may be discontinued or expire at any time without notice. Applications are not binding on the show host or producer, either of whom reserves the right to return an application and fees without notice, and be held harmless for any and all liabilities arising from such return of application and fees. Experts whose applications have already been accepted WILL be interviewed. I acknowledge my understanding and acceptance of the terms and conditions of this Expert Interview™ application by my signature at the bottom of this application.

Expert Interviews are offered at the sole discretion of show host and producer. If Expert Interviews are fully subscribed, your application will be put on a wait list for to be considered for future programs.

Please check here if you would like to be put on a waiting list for Future Expert Interviews.

Phone - All questions call... 1-973-736-1304.
Order Line ONLY... 1-800-9-4-SALES (947-2537).
Fax - this completed page to the 24-hour fax line... 1-973-736-3930
Mail - this completed page with payment to address below...

Name ___________________________________________________________________________

Address _________________________________________________________________________

City, State, Zip ____________________________________________________________________

Phone _____________________ Fax ____________________ Email ________________________

Expertise ________________________________________________________________________

What I'm promoting: _______________________________________________________________

YES! I am applying for an Expert Interview™ (select the length of interview)

12-minute Expert Interview!™ @ Only $ 995.
25-minute Expert Interview!™ @ Regularly $1,795, now only $1,495.
50-minute Expert Interview!™ @ Regularly $2,795, now only $1,995.

I'll pay by check, payable to Axelrod & Associates, a total of $ ________________.

Please bill $ ________________ to Visa or MasterCard (circle one)

Card# __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expires ___/___

Your Signature (required of all applicants. I accept the terms and conditions of application).

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