Virtual Author Visit Request Form

After you submit this request form, I will contact you so that we can schedule an exact date and time for the virtual author visit. After we have agreed upon a date and time, I will email an invoice to you that will link to PayPal, so that you can make a secure payment. You will have the option to make your purchase via your PayPal account or by credit card (if you don't have a PayPal account) in your local currency. Please contact me if you have any questions.

* Indicates required field

Name (for invoice) *

First

Last

Email Address (for invoice) *

Postal Address (for Invoice) *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number (for invoice) *

Please choose one of the following options *

Proposed date (or range of dates) and time (your time zone) for virtual author visit *

Additional Comments *

This website does not share personal information with third parties. Please contact me if you have any questions.

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