* Denotes Required Field

*First Name

*Last Name

*Age (minimum age of 18 required)

*E-mail Address

*City

Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachussetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvannia Rhode Island South Dakota South Carolina Tennesse Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside U.S.

*Country

Phone Number

*Write Your Message to Don

Stories, ideas, suggestions, essays, audio, video, photographs or related materials and any other materials of any kind whatsoever submitted (hereinafter, the "Submissions") will not be returned or kept confidential. All such Submissions may be used: (i) on www.tivomike.com (the "Website"); (ii) for broadcast or other publication by Righteous Road Enterprises, Inc. or any of its affiliated companies or entities, including, but not limited to, Lovin' Life with TiVoMike, BlogTalkRadio, www.blogtalkradio.com and Righteous Road Radio, Inc. (collectively "Righteous Road") or its related companies or entities, including without limitation, Lovin' Life with TiVoMike and distributed in all markets and media worldwide and in perpetuity. By submitting the above, you acknowledge and agree to the following terms and conditions and consent to your name and geographic location possibly being published in connection with the publication, distribution and/or broadcast of your Submission(s).

1. The Submissions may be shared with The Producers and/or developers of Lovin' Life with TiVoMike and/or other Righteous Road Enterprises, Inc. (or its related entities, including, without limitation, tivomike.com and BlogTalkRadio) related programming.
2. Neither Righteous Road nor any of its affiliated companies or entities are obligated to use or pay you for any Submission.
3. It is possible that similar Submissions may be submitted to Righteous Road by multiple sources and that a Submission may be similar to ideas generated or developed independently by Righteous Road employees.
4. All Submissions shall become the property of Righteous Road, may be edited for length, clarity and/or functionality, will not be subject to any obligation of confidentiality, may be shared with and used by the staff of Righteous Road and any of their affiliated companies or entities and shared with legal authorities if Righteous Road believes it warranted. Neither Righteous Road nor any third or other party with whom Righteous Road shares the Submissions shall be liable for any use or disclosure of any information or Submission that you submit.
5. Righteous Road shall exclusively own all known or later existing rights to the Submissions worldwide and shall be entitled to the unrestricted use of the Submissions for any purpose in all media now known or hereafter discovered without compensation to the provider of such Submissions.
6. Righteous Road reserves the right to change due dates for Submissions, or other specifics, as it deems necessary in its sole and exclusive discretion.
7. By providing the Submissions, you represent and warrant that you are at least eighteen (18) years old.
8. No Submission may contain any material that is abusive, vulgar, threatening, harassing, libelous, defamatory, obscene, invades a person's privacy, violates any law, any intellectual property or other property or other rights, or is known to be false.
For more information about Righteous Road's privacy policy click here.

IMPORTANT MESSAGE: If you are seeking immediate assistance on a matter involving urgent health care, personal safety, the safety of others or any other issue requiring immediate attention, please do not use this e-mail or website. Instead, IF YOU ARE EXPERIENCING OR HAVE KNOWLEDGE OF AN EMERGENCY INVOLVING IMMEDIATE DANGER OR PHYSICAL HARM TO YOU OR TO ANOTHER, PLEASE CALL 911 OR YOUR LOCAL LAW ENFORCEMENT AUTHORITIES. Please note that we cannot reply to all e-mails sent to us or guarantee that your e-mail will be or will be immediately read. We cannot always review every e-mail that we receive.

BY CLICKING "SUBMIT" BELOW, YOU HEREBY AGREE TO ALL OF THE ABOVE TERMS AND CONDITIONS.