Please fill out the following form which will aid us in arranging a visit from Robert D. San Souci to your event or school. If you prefer to fax the form, please print the form and send it to (415) 552-5038.
Name First : Last:
Mailing address:
City: , State ZIP code -
Business AREA CODE: Phone Number -
Home AREA CODE: Home Phone Number: -
FAX area code: Number: -
E-mail:
Type of organization. Select one: K-6 School Junior High School High School College/University Library Bookstore Professional Organization Other
Name of Organization:
Virtual or In Person: Select one: In person attendance Virtual Visit
Scheduled time requested. Select one: One day Two to five days One or more weeks Other
Focus of visit. Select one: Present and sign books Keynote speaker Other
If possible, please submit three possible dates for your ideal visit (example: May 15, 2001): First choice: Second choice: Third choice:
Nearest city or airport to fly into:
Request for additional information:
A printer ready Author Visit Packet is available, which includes:
You will need to have Adobe Acrobat Reader installed on your computer. The Adobe Acrobat Reader is available for free. If you need to download a free copy of Adobe Acrobat Reader, click on the Adobe logo show here:.
Please share any comments or suggestions or ask other questions here:
Thank you for your interest in scheduling a visit to your area.
All best wishes to you,
Robert D. San Souci