Name *

First Name

Last Name

Phone *

Please provide a good contact number for us to reach you in order to help coordinate the Live Reading

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Suggested Date of Book Reading *

Please enter a Suggested Date that you would like to have your Live Book Reading. Nellian Vidal-Badalamenti will try and accommodate your request. She will reach out if the dates are conflicting and try and work with you to find a more suitable time!

MM

DD

YYYY