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Book Talk Request Form
Submit this form to formally request a book talk, reading, or author appearance.
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* Indicates required question
Your Name (Contact Person)
*
Your answer
Email Address
*
Your answer
Organization/Group Name (If Applicable)
*
Your answer
Type of Event Requested
*
Formal Book Talk/Lecture
Author Reading and Q&A
Workshop/Seminar (Specify topic below)
Panel Discussion Participation
Virtual/Online Only
Title(s) of the Book(s) to be discussed
*
Your answer
Preferred Date(s) for the Event (Provide 2-3 options)
*
DATE
TIME
First Preference Date
Second Preference Date
DATE
TIME
First Preference Date
Second Preference Date
Estimated Event Duration
*
Hrs
:
Min
:
Sec
Location of the Event (e.g., City, State/Province, Venue Name)
*
Your answer
Is this an in-person or virtual event?
*
In-person
Virtual (e.g., Zoom, Google Meet)
Hybrid (Both in-person and streaming)
Expected Audience Size
*
Choose
Under 20 attendees
20 - 50 attendees
51 - 100 attendees
101 - 250 attendees
250+ attendees
Briefly describe the audience profile (e.g., students, professionals, general public, specific academic field).
*
Your answer
Will there be an opportunity to sell the book(s) at the event?
*
Yes, we have arranged a bookseller.
Yes, the author/publisher will handle sales.
No, book sales are not planned.
Do you have a budget for an honorarium/speaking fee?
*
Yes, we have a set budget.
Yes, but it is negotiable.
No, this is a volunteer/pro-bono request.
Please provide any additional details, including technical needs, accessibility requirements, or specific requests.
Your answer
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