An Inspirational Story : Viewers Need to Hear
For interview consideration on the Shelly-Anne Show
First Name of Individual for Interview
*
Last Name of Individual for Interview
*
Email Address of Interviewee
*
example@example.com
Cellphone Number of Interviewee (please include area code as well as country code if outside of North America)
*
Please tell us a little bit about the story/experience/situation regarding the person you are submtting consideration for. What have they endured and overcome? Please share the most notable key points that make this story one you feel needs to be shared. We are seeking stories that are inspiring to viewers, create hope and may even be a source of healing to some. Be sure to include details as to how they came through the other side of this experience. What tools, resources, supports made this possible that you are aware of?
*
0/1000
Is the above named person aware you are submitting their story ?
Yes
No
Your Full Name
First Name
Last Name
Your Email Address
example@example.com
Your Phone Number
-
Area Code
Phone Number
Today's Date
*
-
Month
-
Day
Year
(click on little calendar icon to choose date)
Signature (use your mouse to create written signature)
*
Submit
The Shelly-Anne Show / Production Office 113-437 Martin Ave / Penticton, BC / V2A 5L1
Should be Empty: