Radio or TV Talk Show Host Acknowledgment Form

You have clicked on the microphone. Good!

When I appear as a guest on a radio or TV show I often invite listeners and viewers to visit my web site, look for the small microphone in the upper right corner of every page, click, and then enter the name of the host on whose program you heard or saw me.

If you spell it correctly, and if that person is already in the database connected with this page, you will get the next page acknowledging your search. Then, if you continue, you insert YOUR name and eMail on the next page and both Karl Loren and the Host will receive an immediate eMail message with whatever information you have included.

If you enter a name not in our database, or spell it differently than we have it spelled, you will get an error message. You can try again with a different name or spelling. You can also report your problem by sending a message to Karl Loren.

Depending on the host, and the show, there may be some special free gift, or other incentive for continuing to register further information about a particular show, and date.

This helps the host know what his audience thinks about the guests who appear on his shows, and it lets ME know what you thought of that particular show. I will respond, personally, to every message that comes to me from this process.

Thanks.

Karl

Please provide the following contact information

Title

First name required

Middle initial

Last name required

E-mail required

Confirm E-mail required

Title
First name		required
Middle initial
Last name		required
E-mail		required
Confirm E-mail		required

Address 1 required

Address 2

City required

State/Province required

Postal Code required

Country required

Address 1		required
Address 2
City		required
State/Province		required
Postal Code		required
Country		required

Organization

Work Phone

Home Phone

FAX

Your URL

Organization
Work Phone
Home Phone
FAX
Your URL

Special Reports
(sent by email)

Information Packs
(sent by ordinary mail)

Message Dear Karl,

If you have correctly entered a host name for a show on which Karl has appeared, you will next get a page showing appearance dates and inviting you to provide more information so that this web site will send an eMail message to the Host and to Karl Loren.

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Write To Karl Loren -- He Pledges To Answer EVERY Personal Message, Personally. Click here or on his name in the box below.

I promise to answer your message -- click here to send me a personal message

Dear Karl,

You can reach Karl Loren at www.PainStudy.com by mail at 1831 N. Bel Aire Drive, Burbank, CA 91504. Within the US and Canada, use the toll free number: (800) 523-4521, the local number: (818) 558-1799, the FAX: (818) 558-7299, eMail to karl@painstudy.com

Copyright © May 10, 2012 12:28 AM by Karl Loren on behalf of Vibrant Life, ALL RIGHTS RESERVED. Permission is granted for non-commercial downloading, copying, distribution or redistribution on two conditions: One, that some form of copyright notice is included in every copy distributed or copied, showing the copyright belonging to Vibrant Life, Burbank, CA, at www.oralchelation.com . The second condition is that the material is not to be used for any purpose contrary to the purposes and objectives of this site. This permission does not extend to materials on this site which are copyrighted by others.

Special Reports (sent by email)
Information Packs (sent by ordinary mail)
Message	Dear Karl,