| The Vegan Society

Full name *

Date of birth *

Day

Month

Year

Sex *

Languages you can speak *

Religion, if any *

Email address *

Phone number *

Vegan since *

Day

Month

Year

Reasons for being vegan *

Animals

Environment

Health

Brief outline of your story *

Up to 200 words

Which type of interviews would you be up for? *

Print or online (written interviews, usually on the phone)

Radio (audio only, usually on the phone or at your local studio)

TV (on camera, either in a studio or on location)

Would you like some media guidance over the phone with our staff before a potential interview? *

Yes

No

If needed, would you be willing to travel for your interviews (expenses covered)? *

Yes

No

If needed, would you be willing to be photographed for a story or share your photo with the journalist? *

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