Penguin Group (USA)
Author & Illustrator Visit Request Form

Thank you for your interest in one of our authors/illustrators. Please complete the following form.
* Required Fields

*Today's Date: (Month/Day/Year, ie: 09/16/04)

*School, Library Name:

*Type of Visit (Check one):
School
Public Library
Conference
Other

Requested Date of Appearance:
*First Choice

Alternate Dates


Requested Authors/Illustrators:
Please refer to the Author and Illustrator Appearance Guide (pdf) for a list of available author and illustrators. These are the only authors currently available for visits. Unfortunately, due to the volume of requests, we are unable to respond to requests for authors not on the list.

*First Choice:

*Second Choice:

*Third Choice:

Your Contact Information
*Name:

*School, Library, Organization:

*Address 1:

Address 2:

*City:

*State:

*ZIP or Postal Code:

*Phone Number (including area code):

Fax:

*E-mail Address:

*Closest City:

*Grade Level of Audience (Check one):
Pre-K to 2
3-5
6-8
9-12
Adult (teachers, librarians, education students)

*Number of People in Audience:

*Number of Presentations (check author info for limits):

*Will there be a signing?
Yes
No

*How many books do you plan to buy?

Note: When submitted, this form is sent to the author appearance coordinator.
Due to the high volume of requests we receive each day, please do not expect a response to your request for at least two to three weeks. We appreciate your patience.