PodMAX: The Team Details Submission

Hello PodMAX Team.

Please fill out this short form so we can properly include it as part of the event.

Thanks.

Your Details, Please...

Name*
First Last
Title*
Email Address*
Company Name
Podcast Name
Phone Number*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Bio*
Headshot
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 5 MB.
Consent*
I agree to the terms and conditions
I grant On Air Brands / PodMAX, the right to take photographs / audio / videos of me and any business partners in connection with a PodMAX Global event. I authorize On Air Brands / PodMAX, its assignees and transferees to copyright, use and publish the same in print and / or electronically. I agree that On Air Brands / PodMAX may use such photographs / audio / videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and digital content.
Phone
This field is for validation purposes and should be left unchanged.