Jim Rogers Interview Request Form

I Would Like to Review The Rock and the Kangaroos
and arrange an interview with Dr. Rogers

Are you interested in reviewing Dr. Jim O. Rogers’ book The Rock and The Kangaroos? Would you like to interview him for a story? Please fill in the form below and we will be happy to send you a media kit and arrange a convenient interview time. Thank you for your interest.

Interview Request Form

Name

Media Name of Publication

Address

City State Zip Code

Day Telephone No.: Eve. Telephone. No.: FAX No.:

E-mail:

When is the best time to reach you?

1st Choice: Day Between a.m. p.m.

And a.m. p.m.

2nd Choice: Day Between a.m. p.m.

And a.m p.m.

3rd Choice: Day Between a.m. p.m..

And a.m. p.m. Are these times: EST CST MST PST ?

When would you like to do the interview?

1st Choice:

Day Month Date Year

Time a.m. p.m.

2nd Choice:

Day Month Date Year

Time a.m. p.m.

3rd Choice:

Day Month Date Year

Time a.m. p.m. Are these times: EST CST MST PST ?

Where would you like to do the interview? By phone In person

Do you have any questions, special requests?

Purchase the book at

iuniverse.com
Barnes & Noble.com
Amazon.com
Booksamillion.com

To contact the author: jim@jimorogers.com
Publicity: Michael Kleiner, pr@jimorogers.com;
215-868-0303.

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I Would Like to Review The Rock and the Kangaroos and arrange an interview with Dr. Rogers

Interview Request Form

I Would Like to Review The Rock and the Kangaroos
and arrange an interview with Dr. Rogers