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'Culturally Incorrect,' Rod Parsley

INTERVIEW REQUEST FORM:

This form allows you to request an interview with Rod Parsley regarding "Culturally Incorrect." Simply fill out all sections of the form. Interview requests are handled regularly each weekday; if your interview request is extremely urgent, please call (972) 267-1111.

Your Name

Title

Media Outlet

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Circulation/Coverage

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Client
"Culturally Incorrect " / Rod Parsley

Person to Interview

Requested Date

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Length

Interviewer

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