Request for Author Visit

To schedule an appearance by Author and Poetry Performer Diane Asitimbay, you may choose to fill out this online Request for Appearance form or print out this form and fax/mail it to the Culturelink Press Office.

SCHOOL Name of Organization/School

Organization/School Address

Organizer's Name and Title

Organizer's Daytime/Evening Phone

Organizer's Email Address

When is the best time to contact you?

STUDENTS Please tell us a bit about the students who will attend the event.

Grade and/or Age Levels: How Many Students?

Kindergarten
1^st-2^nd grade
3^rd-4^th grade
5^th-6^th grade
7^th-8^th grade
Adults

How many students total?

Other Requested Dates * Please be specific regarding season, month, and/or day of week.

Type of Program:
   Student Assemblies
   Poetry Workshop
   Parent Presentation

Time Schedule * Diane needs at least 10 minutes between presentations.

Are there Special Events (e.g., book fair, young author's program), seasonal themes, or curriculum goals of which we should be aware?

Payment
Does your organization/school require a Purchase Order?

* Be advised that payment is to be mailed to Culturelink Press Office address no later than the day of Diane's appearance.

Do you need promotional materials mailed in advance?

If you want promotional materials, please indicate which items would be most useful:

   Photograph of Author
   Flyer of book performed and discussed at event
   Biography of author

Please ask ANY question you may have! Our goal is to provide you and your audience with the best possible individually-tailored programming. Click here for a printable visit request form.

For additional information, please contact Diane at Culturelink Press' administrative office:

Culturelink Press
P.O. Box 3538
San Diego, CA 92163

Tel (619) 501-9873
Fax (619) 501-1369