Guest Inquiry Form

COFFEE with Kim Livestream Talk Show

Guest Inquiry Form
Thank you for your interest in being a guest on our show. Please fill out the form below.

Once completed you will receive an email confirmation of your submission.

We want you to know how very much we value each and every story that God has put on your heart to share, however due to the number of submissions we receive, we unfortunately are unable to provide a radio time slot for all applicants. If your submission is selected, our radio coordinator will reach out to you via email to schedule.
Name*

First NameLast Name
Email*
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Address*

Street Address

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Postal / Zip Code
Phone number you will use to call into the show*
Please enter a valid phone number.
What topic would you like to present on COFFEE with Kim? What title would you give?*
Please describe the topic, including a bit of the back story. For example, what brought you to this topic, how this is important to you, how this topic affected you personally, and how you want it to affect others (do you have a book, etc.).*
Please list three scriptures pertinent to your topic.*
Please list five questions that you would like Kim to ask you during your interview.
What is the one message you want to make sure the audience walks away with?
What other information can you give Kim to ensure your conversation fully covers your topic?*
Let's Connect! Please provide us with your website and social media handles
Upload your bio/media packet*

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Upload your headshot .jpeg or .png*

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Thank you for providing this information as we prepare to share your story. Please know that Kim will guide you as she relies on God to direct her. You can rest assured that we will have a great show as we share our hearts to give hope and healing to our listeners.
Please verify that you are human*
I hereby grant Kim Crabill and Roses and Rainbows Ministry, Inc. permission to share my information as provided above and that which will be recording during programming including photo, audio and media footage, website links or other promotional materials as provided. I understand that this information/material will be shared on the Roses and Rainbows Ministry, Inc. platform and further syndicated through the Roses and Rainbows Ministry, Inc. affiliates and partners.

By signing below, I am agreeing to the above Terms and Conditions.
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COFFEE with Kim Livestream Talk Show