Presenter PR Form
We're happy to have you presenting at Defiance Public Library System (Defiance Public, Sherwood Branch, Johnson Memorial libraries). Please fill out this form to aid us in promoting your upcoming appearance at the library/libraries. *If you are presenting at 2 or 3 locations, only fill out this form once.*

If you have a headshot or other promotional photos you would like us to use, please email them to tmlawson@defiancelibrary.org, or indicate on the form below where they can be found & downloaded online. Thank you!
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Name of presenter/program: *
Date of presentation(s): *
Website (if none, leave blank):
Do you grant DPLS permission to use pictures from your website to promote your upcoming appearance(s) at the library/libraries? (If you do not have a website, leave blank.)
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Presenter gives Defiance Public Library System & its media affiliates from print & broadcast outlets permission to (check all that apply): *
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If there are any special conditions related to the recording of your program, please state those here:
Anything else you'd like to add?
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