Author Talk/Signing Information Form

Name _____________________________________________________________

Address ___________________________________________________________

___________________________________________________________

Phone ___________________________________ Home

___________________________________ Work

____________________________________ cell

Email address _____________________________________________________

Published book(s) by title:

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Suggested Audience: (teens, adults, geneologists, business, non-fiction, etc. Please feel free to elaborate.)

_______________________________________________________________________________________________

________________________________________________________________________________________________

Would you be interested in doing author talks/signings at our public libraries?  Yes  No

Most programs are one hour, what would you charge to do a program at a public library? 

Would consider presenting for free.  Yes  No

Would charge how much for an hour program? _____________________________

Our libraries are located in Pottawatomie, Cleveland and McClain Counties in central Oklahoma. Would you be willing to present at any or all of our libraries or would you prefer to limit your travel?

 Available for all counties  Will not travel to ____________________________________________________

Libraries hold programs at many different times of the day and on many days of the week. What times/days are you usually available?

________________________________________________________________________________________________

Please return to: Cindy Stevens 

         1210 McGee Drive

            Norman, OK 73072

 cindy@pls.lib.ok.us

Thank you!!!