beon.thebalancingact.net Open in urlscan Pro
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Form analysis
1 forms found in the DOM

Name: engagement-form — POST //beon.thebalancingact.net/process_form.php

<form action="//beon.thebalancingact.net/process_form.php" method="post" name="engagement-form" id="engagement-form"><input type="hidden" name="fbclid" id="fbclid" value=""><input type="hidden" name="gclid" id="gclid" value=""><input type="hidden"
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  <div class="row not-editable collapse nope field-container">
    <div class="nope digi-label" data-title="label"><label for="select6" data-ele-num="6">Select your TV DMA *</label></div>
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        <option value="Atlanta">Atlanta</option>
        <option value="Austin">Austin</option>
        <option value="Boston">Boston</option>
        <option value="Chicago">Chicago</option>
        <option value="Dallas-Ft. Worth">Dallas-Ft. Worth</option>
        <option value="Houston">Houston</option>
        <option value="Los Angeles">Los Angeles</option>
        <option value="Miami - Ft Lauderdale">Miami - Ft Lauderdale</option>
        <option value="New York">New York</option>
        <option value="Orlando - Melbourne">Orlando - Melbourne</option>
        <option value="Philadelphia">Philadelphia</option>
        <option value="San Francisco">San Francisco</option>
        <option value="Tampa - St Pete">Tampa - St Pete</option>
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  </div>
</form>

Text Content

I would like to schedule a brief call with you and my Regional Producer to share
more about the potential of this partnership. 

First name *

Last name *

Email address *

Business Name *

Best Phone Number *

Select your TV DMA *
AtlantaAustinBostonChicagoDallas-Ft. WorthHoustonLos AngelesMiami - Ft
LauderdaleNew YorkOrlando - MelbournePhiladelphiaSan FranciscoTampa - St Pete


We are looking for an expert to appear on a special edition of The Balancing Act
in a lifestyle segment that we will create with you. 

 

We believe you and your company have the professional experience to engage with
our audience.

 

The Balancing Act Local Edition provides entertaining, informative segments
featuring expert guests discussing the hottest topics relevant today. You’ll
discover everything from delicious recipes, style makeovers and dream vacation
getaways to parenting tips and the latest news in health and wealth.

 

The Balancing Act Local Edition brings new ideas to help balance and enrich our
daily lives.
 

We look forward to speaking with you soon. 

 

Thanks.