Media Request

Email:(required)

Your first and last name:(required)

Company name:(required)

Your title:(required)

Your phone number (with area code):(required)

Your company website, if any:

How did you hear about Michelle?(required)

Type of request:(required) television (includes TV news programs)

movie/feature film

documentary (Michelle no longer does student documentaries)

newspaper (print)

newspaper (online)

radio

podcast

magazine (print)

magazine (online)

autograph signing

lecture

lecture AND autograph signing

YouTube sponsorship

YouTube collab

other

How many episodes will you need Michelle on camera for your television series?(required) one ep

two eps

more than two eps

this is a television series but Michelle will not be needed on camera

this is not a television series

Amount of time this will take:(required)

Date(s) you need this done on:(required)

Can this be done via telephone, or must it be in person?(required) telephone

must be in person (off film)

must be in person (on film)

in person preferred but can also be done via telephone

Michelle is extremely busy, are you willing to pay for her time?(required) yes

there are no funds for this request

I would need approval from my superior

I can compensate her in other methods which I will detail below

news (print/online/TV news)

Full details of your request:(required)