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Interview Us 
If you are currently part of a same-sex couple and would like to be interviewed for possible inclusion in the upcoming book, Happy, please review the information below and submit the form.
Fill Out This Form to be Included in Happy

 

* Your Full Name:

* Your Partner's Full Name:

* Your Email Address:

* Current City of Residence:

* Length of Time You and Your Partner Have Been Together:

* Why Do You Want To Be Included In Happy:

Please note, that submission of the form serves as ackowledgment and acceptance that your name, image and likeness can be used by the author for the book, website, blog and all other forms of printed (on and offline) materials in association with the publication and promotion of the book. Also, all interviews will be recorded which may result in portions of the interview being placed on the website, blog or in the book. Submission of the form below indicates that all information provided is factual and true to your person. Finally, all participation is on a voluntary basis; participants will not be compensated in any way, monetary or otherwise, at the time of the interview, during the promotion period or once the book is published. All information gathered is property of the author and will not be provided back to partipants at anytime, nor will participants have any input into final product or promotions.

Your information will never shared with third party sites.