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Co-Host Application Form

The Millionaire Mindset Radio Talk Show will be broadcast LIVE from 4-6 PM every Sunday afternoon on Talk Radio 1370AM. It is a show that is dedicated to people who want to make money. Our first program will air on Sunday, September 26th.

Being a Co-Host on the Millionaire Mindset Show is an opportunity to advertise yourself and your business. The exposure and creditability it creates is priceless. Host Ken Goheen is looking for someone who will add value to the program. If your goal is ONLY to promote yourself and your business, you're not the kind of person we are looking for. Our goal is to help people become financially successful. Helping others to be successful is the PRIMARY goal of this program and the co-host must conform to this standard.

First Name:
Last Name:
Address:
Apartment #:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Email:
Please enter a brief description on why you would be a good Co-Host for the show. Make sure you tell us what kind of business you're in:	Enter comments here!