Coup Save America Intake Form

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Citizens.am Progressive Talk Radio

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Coup Save America

Coup Save America is a two-hour long radio program that discussess current events and politics with a left-leaning perspective.

Intake Form - Coup Save America

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Guest's Contact Information

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Enter an email address for the guest where we can send updates and information related to this booking request.

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Mobile Phone

Enter the mobile number to receive SMS text messages and reminders for the booking date.

Please give your permission for us to send SMS text messages to the provided mobile number. These messages will only include confirmations and reminders for this booking. After the booking is complete, no further messages will be sent to this number.

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Guest's Profile Information

Guest's Preferred Gender Pronouns

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Please confirm if the pronunciation guide above accurately represents how your name is pronounced.

Correct Pronunciation for Guest's First Name

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Coup Save America

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