Living Life Our Way Entertainment, LLC

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Living Life Our Way Entertainment

LLOWtv Interview Application

"*" Indicates required fields

DEMOGRAPHICS

Last Name*

Email*

First Name*

Contact Phone Number

PERSONAL

Stage Name*

Company Name

Background*

SOCIAL MEDIA

Having social media accounts can be a great asset to anyone who is serious about getting their product/service to
people. We live in an age where internet presence can exponentially increase your chances for success. If you don't
already have social media accounts, we encourage you create accounts.

Facebook

Twitter: @

Instagram: @

PRODUCTS/SERVICES

What are you promoting?

Write a short description of your product/service

Website *

INTERVIEW

Length of the Interview *

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What do you want the audience to learn from the interview? *

Are there any specific questions you would like the interviewer to ask? *

TERMS & CONDITIONS

Please be sure to THOROUGHLY read the Terms & Condition

I HAVE THOROUGHLY READ THE TERMS & CONDITIONS. I AGREE WITH AND AGREE TO ABIDE BY ALL TERMS AND CONDITIONS ON THE LIVING LIFE OUR WAY ENTERTAINMENT LLOWtv INTERVIEW TERMS & CONDITIONS FORM. I UNDERSTAND THAT BY CHECKING THE BOX BELOW, SIGNING ELECTRONICALLY, AND SIGNING PYSHICALLY THAT I WILL BE BOUND TO THE TERMS AND CONDITIONS ON THE LIVING LIFE OUR WAY ENTERTAINMENT LLOWtv INTERVIEW TERMS & CONDITIONS FORM. *

ELECTRONIC SIGNATURE

PLEASE TYPE YOUR LEGAL NAME AND DATE BELOW (First Name Last Name - Date)

Note: upon physically signing with the Living Life Our Way Entertainment representative you will be ask to provide
legal identification to ensure the electronical signature is accurate. If the electronical signature does NOT match the
legal identification this form will be voided and you will need to restart the entire process. In that case, there are NO
REFUNDS, any payments made prior to submitting this form will NOT be returned. Be sure everything on this form
is correct.

FIRST NAME LAST NAME - DATE