Contact Information

Full Name:
Title:
Business or Organization: 
Address 1: 
Address 2: 
City, State and ZIP: 
,  
Phone: 
E-Mail: 

Type of Event or Publication:
(ex. book signing, special event, media interview, newspaper, magazine, TV Talk Show)

Event Planned Date:
Event Planed Time:
Event Planed Location:

Request Media Kit:

If Requesting Media Interview please specify

Type of Media Event or Publication:
(ex. book signing, special event, media interview, newspaper, magazine, TV Talk Show)

Please provide a brief description of the article or interview you’d like to conduct and state a specific deadline.

If Requesting Promotional Book Signing please specify:

Name of Bookstore:
Type of Bookstore:

Please provide a brief description of your request and specific dates you’d like for the author to consider.

If Requesting Tanisha as a guest speaker please specify:

Type of event:

Please provide a brief description of the event and specific dates you’d like for the author to consider; also explain what capacity you’d like the author to participate (e.g. keynote address, workshop, seminar, Q&A)

Additional Info:

 

Type the letters you see them over on the left,
in the field above.