Thank you for your interest in having Real Talk Kim speak at your event.

This form is used to determine if your meeting can be confirmed. After review, we will promptly update you concerning your request. To serve you better, please fill this form out completely and we will be in touch as soon as possible.

Organization Information:

Name of Organization Hosting the Event *

Organization / Ministry Overseer *

Organization Phone *

Organization City *

Organization Website

Organization Address *

Organization State *

Organization Zip Code *

Contact Information:

Contact Person Full Name *

Contact Title *

Contact Email *

Contact Phone *

Event Information:

Name of Event *

Channel *

In-Person

Virtual

Podcast

Interview

Proposed Event Date *

Proposed Event Time *

Event Theme *

Expected Attendance *

What other speakers will be speaking at the event? *

Specific Time(s) Pastor Kimberly will be speaking *

Will she be the keynote speaker? *

Yes

No

Have you ever booked Pastor Kim in the past? *

Yes

No

If Yes, please specify when and what:

Will there be media involved? *

Yes

No

If yes, please specify

Will the event be streamed live via the Internet? *

Yes

No

If yes, please share the livestream link

Venue Information:

Venue Name *

Venue Street Address *

Venue City *

Venue State *

Venue Zipcode *

Closest Airport to Event Venue *

Distance from Airport to Event Venue *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from Real Talk Kim.