Are you the contact person for your organization? If not, please ask the contact person to fill out this form.

Your Information: Name: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Phone: Email address:

Your Organization's Information: Name: Web site: http:// Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Nearest large city: Distance:

Your Request:

1. What is the nature of your organization?
   herb/garden
   book club
   library
   other; specify:

2. What would you like Susan to talk about?
   herbs/garden
   mysteries
   writing life
   other; specify:

3. What's the best day of the week for your group? (select one or more: ctl-alt-mouseclick or drag for multiple selections)
   Mon Tue Wed Thu Fri Sat Sun doesn't matter

4. What time of day? (select one or more: ctl-alt-mouseclick or drag for multiple selections)
   morning afternoon evening doesn't matter

5. If you're inviting Susan to speak to a special event (ie. luncheon, dinner, Founder's Tea, Library Dedication, etc) please tell us about it.
   

6. Where will the event be held?

7. How many people are you able to accomodate in this location?

8. Does this location charge admission to the general public (such as a botanical garden, museum, etc).
   yes: $
   no

9. How many people do you think are likely to come?

10. The most successful events are usually sponsored by more than one group. What other local groups might be willing to co-sponsor your event?
    Have you contacted them yet?
    yes
    no

11. What kind of local publicity will you be using? Check all that apply:
    organization's newsletter
    web site: http:// (specify url)
    email mailing list
    mailing list
    newspaper
    radio
    TV
    other:

12. If you have any local media contacts that might be willing to interview Susan, please check all that apply:
    newspaper
    TV
    radio
    We'll check with you later about arrangements.

13. Your event MUST include a book sale and book signing. Please specify how this will be handled:
    my organization will purchase and sell books
    a local bookstore will sell books:
    Have you contacted this store yet?
    yes
    no

14. Comments & questions:
    

Please do not use the form to request Susan's appearance at an event. It is for April 2007 tour events ONLY.