Please fill out the following form and return to use before appearing on The Unbilled & Unfiltered podcast.

Your Information

Branding

Please provide us with your headshot and company or personal branding. This will be used to promote your episode and on social media

Podcast Information

Marketing Information

Consent & Release Agreement

I consent to the recording of my voice, image, likeness, name, biography, and any materials provided by me during my participation in Unbilled & Unfiltered podcast.

Usage rights

I grant Unbilled & Filtered the unrestricted, worldwide, royalty-free right to use, reproduce, edit, distribute, publish, broadcast, display, promote, and create derivative content from the recording. This includes:

• Full podcast episodes

• Audio recordings

• Video recordings

• Social media clips

• Short-form content

• Promotional materials

• Website content

• Email marketing

• Future marketing campaigns

Editing Permission

I understand that recordings may be edited for clarity, length, promotional purposes, and production quality.

Ownership

I acknowledge that all recordings and resulting content remain the property of Unbilled & Unfiltered

Accuracy & Authority

I confirm that I have the authority to provide this consent and that any materials supplied by me do not infringe the rights of any third party.

Final Agreement

By signing below, I confirm that I have read and understood this agreement and consent to participate in the podcast under the terms outlined above.