Please fill this form out as thoroughly and completely as possible least four weeks in advance of any planned events. The information you provide below will help us to accurately alert consumers through local media and social media outlets to your book events and signings within the media’s preferred lead times.

Please note that we require this information to ensure that shops will have enough books and marketing collateral on hand for your event, and so that we can properly execute both local media and social media outreach.

Should any of the details change, please submit a revised form to the Interweave Books Marketing Department.

	Author
	Title
	Date of Event
	Time and Planned Duration of Event (Note Time Zone)
	Venue Name
	Venue Address
	City
	State/Province	--Select State/Province-- Alabama Alaska Arizona Arkansas California Colorado Connecticut 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 Washington DC West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Qubec Saskatchewan Yukon AA AE AP
	Zip
	Country	--Select Country-- United States Canada
	Venue Phone, Fax and Website (If Applicable)
	Contact Name for Event (First, Last) and Phone Number
	Contact Email address
	Confirm email
	Does this event also include any Workshops, Classes, or Teaching? •If yes, List full cost and detail