Poets Tour Inquiry Form Requested Poet Please recommend a poet. Name of Organization*Contact Name*Contact TitleAddress* Address One Address Two City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Telephone*Email* Preferred dates for event Date Format: MM slash DD slash YYYY Alternate Date #1 Date Format: MM slash DD slash YYYY Alternate Date #2 Date Format: MM slash DD slash YYYY Proposed Fee*Please provide a brief description of the event, including if it is part of a festival, a feature or group reading, and the topic or theme.(if relevant)Check all that apply Workshop Reading Class Visit Panel Other I understand & agree it is my responsibility as host to cover the cost of the poet’s accommodations and travel.
