Contact Information
*Download the
Media Kit
here
.
Full Name:
Title:
Business or Organization:
Address 1:
Address 2:
City, State and ZIP:
,
Phone:
E-Mail:
Type of Event or Publication:
- Select One -
Media Interview
Book Signing
Guest speaker
(ex. book signing, special event, media interview, newspaper, magazine, TV Talk Show)
Event Planned Date:
Event Planed Time:
Event Planed Location:
Request Media Kit:
Yes
No
•
If Requesting Media Interview please specify
Type of Media Event or Publication:
- Select One -
Daily Newspaper
Community Newspaper
Magazine
Network TV
Cable TV
Radio FM
Radio AM
Online Media Source
Radio Talk Show
TV Talk Show
(ex. book signing, special event, media interview, newspaper, magazine, TV Talk Show)
Please provide a brief description of the article or interview you’d like to conduct and state a specific deadline.
•
If Requesting Promotional Book Signing please specify:
Name of Bookstore:
Type of Bookstore:
- Select One -
National
Independent
Please provide a brief description of your request and specific dates you’d like for the author to consider.
•
If Requesting Tanisha as a guest speaker please specify:
Type of event:
Please provide a brief description of the event and specific dates you’d like for the author to consider; also explain what capacity you’d like the author to participate (e.g. keynote address, workshop, seminar, Q&A)
Additional Info
:
Type the letters you see them over on the left,
in the field above.