Ready to Get Started!

Use the form below to submit your request for a TV show on LIFTtv. Please be as thorough as possible to help us make a quick decision on whether your vision is a match for the programming on LIFTtv.

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Today's Date *

Name *

First

Last

Email *

Phone

CIty *

State *

Zip Code *

How did you hear about us?

• Referral or Recruiter
• LinkedIn
• Facebook
• X (formerly twitter)
• Indeed
• Email Invite
• Craigslist
• Other

Enter other source here

Who referred you? *

Facebook Address

Website Address (if any)

What is the best time of day to reach you to share more information about our broadcast programs? *

• Call anytime
• Mornings
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If you are out of the USA, what is your WhatsApp phone number?

Tell us about the TV show you have in mind. Please be detailed. The information you provide will help us determine your eligibility and approval. *

Would you like to earn extra money with us as an ambassador by referring others to us? *

• Yes
• No

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