Be A Guest On The Show

Guest Name *

Guest Name as it will appear on the show

Phone Number *

Phone number where you can be reached

Your Email *

Website / URL *

Website as it will appear on the show

Social Media Links *

Please provide the direct links to YOUR social media pages (this excludes organizations that you will mention)

Orginization Name *

Organization Name as it will appear on the show

Orginization Phone *

Organization phone number as it will appear on the show

Orginization Email *

Organization email address as it will appear on the show

Orginization Social Media Links *

Please provide direct links to organization's social media pages (this excludes personal social media pages)

Upload Your Your Bio *

Click or drag a file to this area to upload.

Please uplade the latest version of your bio.

Marketing Picture *

Click or drag a file to this area to upload.

Please ensure this is a professional profile picture not more than 12 months old. This will be used to promote your episode.

Prefered Questions *

Please list any additional question you would like us to ask you. While we do NOT guarantee your questions will be asked we will do our best to accommodate you.

Supplemental Uploads *

Click or drag a file to this area to upload.

Please provide any additional information such as pdf books or anything else that you think would enhance this episode.

You are aged 18 or over *

You consent to Navi Studios and The Kimberly Bennett Show. processing any sensitive personal data that you have provided in your application or as part of the application process. *

All photos and any other materials submitted to producer ('Materials') become the sole and exclusive property of producer and cannot be returned at any time. By submitting Materials, you agree producer may, but is not obligated to, use the Materials in connection with the show, in any way, in any medium, worldwide, in perpetuity. Further, you warrant all Materials are 100% original and do not violate the right of privacy or publicity of, or constitute a defamation against, any person or entity; that the Materials will not infringe upon or violate the copyright or common law rights or any other rights of any person or entity; and that there are and will be no encumbrances, liens, conditions or restrictions whatsoever upon or affecting such Materials. You agree to indemnify producer and broadcaster for all damages and expenses (including reasonable attorney's fees) arising out of any breach or failure of the warranties made herein. *

I Understand And Agree

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