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Poetry Reading Request Form
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* Indicates required question
Email
*
Your email
Poet's Name
*
Your answer
Contact Information
*
Your answer
What are your pronouns?
Your answer
Please provide your social media (Facebook, Instagram, Threads, TikTok) "handles." (E.g., we are @PatchouliJoes on all platforms.)
Your answer
Book Title(s) and ISBN(s)
(If applicable)
Your answer
Publisher
(If applicable)
Your answer
Please provide a sample of your poetry:
*
Your answer
Where can we find more of your poetry?
Website/ book, etc.
*
Your answer
All poetry events will take place on the first Friday of the month from 6:30-7:30. What date would you like to visit?
(Select all that apply)
*
March 1st
April 5th
May 3rd
June 7
July 5
Required
If selected to participate, we will need a quick bio for your introduction. Tell us about yourself and your writing!
*
Your answer
We will review this form and email you a response to your request. Please allow up to 10 business days for a response.
Send me a copy of my responses.
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