Thank you for your interest in booking me to lecture in your class, group, or venue.  Please fill out the form below.  You should know within a couple of days if I'm available and willing to attend your event or lecture in your group or class.  I realize you may have additional questions for me... not to worry. Please leave your contact information, or the contact information of the individual ultimately responsible for the booking, on the form.  I will contact you at my earliest opportunity.  Please note: I am a working screenwriter and base my availability around my writing commitments.  Advance booking is always recommended.  

The information you provide here will be kept confidential.

Are you inquiring for me to speak to your...

Writer's Group Creative Staff Elementary Secondary    College      Panel     Retreat    Film Program        Community Program    Film Festival    Other

More specifics about your group:

          Name of Venue:  

          Location of Venue: 

Approx. # of attendees/students:     If school(s), what grades:
 

          Please summarize any specific desires or needs you have for this engagement:

          Please list your desired date or dates for this engagement:

           

 

Prices vary depending on venue. I do occasionally make special considerations for non-profits, elementary, and Secondary schools.  

Please indicate what you will be able to provide (check all that apply).

            Pay    Accommodations    Airfare    Press    Special Engagements    Other

            If you can offer pay, what is your budget? 

Your specifics:

Name
E-mail
Tel
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Please contact me as soon as possible regarding this matter.

           Please classify yourself: 

            Other contact name?  Other contact phone?

            How did you hear about my services? 

            If you were referred by a friend, please provide their name: 

 

Kimberly Seilhamer
Copyright © 1999-2004 The Brass Brad. All rights reserved.
Revised: December 05, 2005 .