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Welcome from Allyson

Inquiries are beginning to come in for next school year! Please take a few minutes to complete the following form. This information will be used to update my files only. Please complete the information in a timely manner to ensure I have the most recent information available to use in my recommendations.

Feel free to call me at 914.351.3401 should you need to discuss any matters. As always, many thanks for your support!

W9 Form

booked website button

Annual Author Renewal

Name *

First

Last

Mailing Address (for public purpose) *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (for private purpose, if different)

Address Line 1

Address Line 2

City

State

Zip Code

Main Phone *

Cell Phone

Personal Email *

Public Email (if different)

Website / URL *

Technical Needs

Projector
Screen/Monitor
Computer
Microphone
Other

Other Tech Needs. Please outline specifically any other tech needs you require.

Preferred Format *

In Person
Virtual
Both in person and virtual

Please list fee for in person visit (3 sessions) *

Does this fee include travel cost? *

Please list travel inclusive fee

Please list fee for virtual visit (price per session). *

Please check any special request and provide details in the questions to follow.

Room
Location
Lighting
Meals
Other

Room Requirements. Please outline specifically any special requests for your room.

Lighting Requirements. Please outline specifically any special requests for your lighting.

Location Requirements. Please outline specifically any special requests for the location of your visits.

Meal Requirements. Please outline specifically any special requests or restrictions for your meals.

Other Requirements. Please outline specifically any other special requests or requirements you have pertaining to visits.

Are you BOCES certified? *

What region are you BOCES certified in?

Do you have liability insurance?

Yes (You must provide a copy below)
No

Upload Certificate of Liability

Click or drag a file to this area to upload.

Please share about any new projects, release dates, publishers, etc. Anything you want the public to know including honors and awards.

Please upload jpeg images of book covers below.

Geographic restrictions. Please list if you have restricted geographies for visits. If none, please reply "none." *

Please list the titles of your books you would like used as images on your bio page. *

Will you be listing booked as the contact for author visits on your website? *

If yes, we will provide a "button" graphic you can use for your website.

We are happy to provide you with personalized marketing materials to promote author visits. *

Yes! I would like to receive personalized marketing materials to use on my social media and/or at conferences.
No, thank you. At this time I do not need personalized marketing materials.

Is there anything else you'd like Allyson to know? Please share.

Please upload your W-9 *

Click or drag a file to this area to upload.

You'll find a blank W-9 form on this web page.

Would you be willing to record a 30-second video promoting booked? (We will provide directions and instructions on how to do this). *

Yes
No
Not sure, I need more information.

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