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Podcast Production Registration

This agreement ("Agreement") is made between the applicant ("Client") and Dear Black Woman Media ("Company"). By completing this form and submitting it, the Client agrees to the terms outlined in this contract.

Do You Have a Website for Your Podcast?
Yes
No, but I want one
No, and I do not need one
Podcast Platforms currently used
How Long Have You Been Podcasting?
Podcast Category (Select all that apply)
Frequency of Episodes
What is the Average Length of Your Episodes?
Under 15 minutes
15-30 minutes
30-60 minutes
Over 1 hour
Other
What Social Media Platforms Do You Actively Use for Your Podcast?
What Challenges Do You Face with Your Podcast? (Select all that apply)
Do You Currently Monetize Your Podcast?
Yes, through ads/sponsorships
Yes, through subscriptions/patreon
No, but I want to
No, I am not interested
Do You Have Branding for Your Podcast?
Yes, I have a podcast logo, intro/outro music, and branding materials
Yes, but I need updates
No, I need help with branding
What Services Are You Interested In?
Select a Service Plan
Basic Plan - $750/month
Standard Plan - $1,250/month
Premium Plan - $2,250/month
Custom Plan - Starting at $3,000/month
Add-Ons or Additional Requests (Optional)
How Did You Hear About Us?

By signing below, I confirm that:

  • I have read and agree to all terms outlined in this contract.

  • I understand this is a binding agreement for a 1-year term with monthly payments.

  • I acknowledge the cancellation policy and understand early termination fees apply.

Final Notes

  • After submission, a confirmation email will be sent with the next steps.

  • Payments will be automatically processed according to the selected plan.

  • If you have any questions, contact us at info@dearblackwoman.me

Fixed price
Fixed price
Date and time
:
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