Presenter and Performer Proposal Submission Form

How would you like to collaborate with the library?(Required)

I would like to offer a program at the library.

I would like to do an author event.

Name of Representative(Required)

First Middle Last

Representative's Title (If applicable)

Name of Organization (if applicable)

Email(Required)

Phone(Required)

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Website (if applicable)

Social Media, or Other Online Presence (if applicable):

Organization(s) Mission (if applicable)

Program / Performance / Event Title (If applicable)

Program / Performance / Event Description (If applicable)