Guest information Form

Healthy senior living with Smiles By Delivery

Radio Hosts:

Roger Downey former CBS Anchor Michele Trent of Remembered Well

Guest Name
First
Guest Phone*
Company Name*
Company Phone*
Email*
Skype Handle*
Headshot*
Max. file size: 2 MB.
(Clear, high resolution jpeg)
Your Bio*
Social Media Links
Facebook
LinkedIn
Twitter
Company or Organization Logo
Max. file size: 2 MB.
(at least 400 x 400 pixels) in jpeg
Your Website URL
Title for your show
Interview Questions
6-8 interview questions you would like us to ask
Scripts
The script for your professional 30 second voice over commercial, which will be played during our break and also sent to you as a MP4.
Please arrive at the studio no later than 30 minutes prior to the recording time above.
Healthy Senior Smiles Program
Would you like to donate to support a low income senior for their dental care? Choose your donation level below: $150-SILVER ADVOCATE provides six months of support: a home bound senior will receive a house-call dental hygiene appointment and six months of telehealth dental access. $300-GOLD ADVOCATE provides one year of support: a home bound senior will receive two house-call dental hygiene appointments and one year of telehealth dental access. *Your company will receive a professionally produced commercial and your logo will be placed on our website sponsor page. $500-DIAMOND ADVOCATE provides community support: a senior care facility will receive two bi-annual staff oral health training sessions and a home bound senior will receive two house-call dental hygiene appointments and one year of telehealth dental access. *Your company will receive a professionally produced commercial, your logo will be placed on our website sponsor page and you will receive an appreciation award.
Healthy Senior Smiles Program*
TOTAL
$150.00
We work with you to develop a topic and questions for our 30-minute weekly radio show. You will have one show with no commercial. The show is housed as a podcast on our website and the Star Worldwide Network under Healthy Senior Living series. Your logo is on our website as a sponsor, and we will run the podcast once on our social network. You will also receive the podcast to use for your purposes.
TOTAL
$300.00
We work with you to develop a topic and questions for our 30-minute weekly radio show. You will have one show with no commercial. The show is housed as a podcast on our website and the Star Worldwide Network under Healthy Senior Living series. Your logo is placed on our website as a sponsor, and we will run the podcast once on our social network. You will also receive the podcast to use for your purposes. - AND - receive a professionally produced 30-second commercial that will air on Smiles By Delivery upcoming show, your logo will be placed on our website as a sponsor, and we will run the commercial once on our social network. You will also receive the commercial to use for your purposes.
TOTAL
$500.00
Donation Amount
TOTAL
$0.00
Listen Now to past shows.
Want more information about Smiles by Delivery and all our services, Click Here.
Payment
Credit Card*
Card Number
Expiration Month (00)
Expiration Year (19)
Security Code
Security Code
Cardholder Name*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
This field is for validation purposes and should be left unchanged.

Directions to the Star Worldwide Network:

6900 E. Camelback Road Suite 600, Scottsdale, AZ 85251
69th Street and Camelback Road in the Camelback Tower
(Just west of Neiman Marcus by Fashion Square Mall)

Free parking right out in front and the parking garage is free, as well. Then just come on up to the 6th floor!
~~~~Call in guests will be contacted 10 minutes prior to show time~~~~

Smiles by Delivery is a House-Call Dental Practice that is providing Complementary Dental Screenings! Call Today for Details on How to Register! 623-584-GRIN (4746)

Please let us know how we may
serve you and answer any questions
you may have!

Providing Mobile Dentistry to Maricopa County and Surrounding Communities

Guest information Form

Radio Hosts:

Directions to the Star Worldwide Network:

Serving Phoenix Area

Our Services

SKILLED NURSING COMMUNITY

PRIVATE CARE HOMES

ASSISTED LIVING

MEMORY CARE

INDEPENDENT LIVING

VA DENTAL

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