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Shared Nuggets Form

If you have produced a video sharing a valuable & insightful nugget of wisdom and would like it to be promoted for the benefit of all subscribers then please fill out the following form. Only fill out this form if you have read everything on the "Share Your Nuggets" page, and have prepared the content as instructed there. If you are looking to contact me for another reason (not to submit your video) then please click on "@ Me".

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About You
The information in this section (except for perhaps your name) will NOT be published. This is for record keeping purposes only, and in case I every wish to contact you for some reason (like thanking you for the awesome videos).
Your Full Name (First & Last name)
*
Company Name

Your Email Address
*
Verify that your email is correct as this is where we will email our reply to you to
Phone Number

If outside of US/Canada please include country code
Website Address

About Your Submitted Video
Genre / Category Of Video
*
What is the genre of your video? i.e. eBay, Internet Marketing, Research, MLM, Trading, Mind Power, Advertising, etc.
Title Of Video
*
What is the title of your video?
Location Of Video On YouTube
*
Where is your video on YouTube?
Should look something like this: http://www.youtube.com/watch?v=T_UzdEi6vDo
Paragraph About Video *

Your Requested Link-Back Location

Where would you like a link to? It may be to your website, blog, or facebook profile/group/fan-page.

By submitting this nugget video I certify that I am the producer of this content, that I haven't violated any copyright laws, and that I am fully legally liable for any misrepresentation, unlawful content, or copyright violations. I have read and agree to the legal user policies regarding video submissions as posted on the YouTube website. I grant you permission to make use of this video in any way you wish, including editing and redistributing it, though I the original creator of this video may also use it in anyway that I wish. I acknowledge that the URL I requested a link-back to may not later be changed, and I understand that the link-back is subject to your approval, and may later be revoked if my link is broken or providing unsuitable content, or for any other reason at your sole discretion.

* = Required
I WILL be checking submissions periodically, though not daily. I will review the submitted videos and process them as time permits, so they may be published quickly or there may be some time lag before they are placed live. Your submission is valued, and thank you in advance for your willingness to share you nuggets of wisdom. (Be sure you provided your correct email address to be notified when your video is published.)

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