Name___________________________________________
Electronic Mailing address___________________________Phone number________________
May we communicate with you exclusively by Email?_________ Share contact info?_________
Address (if you think we need to know it)__________________________________________
What should we do?.....Neat ideas and things to share (use back as necessary)
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People we should consider inviting to be on program? (Please tell us what they're particularly good at--and provide an address too!)
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| I am interested in (circle): | being on program | autographing (even if not on program) |
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Items and topics that would interest me include______________________________________
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(and I don't want to talk about __________________________________________________)
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