Writer Request Form

Use this form to request listing on this website as a Circuit or Interstate/International Writer.

Please note the following criteria:

You must have published at least one book of literary prose or poetry;
YOU MUST NOT BE SELF PUBLISHED, or published by a vanity press, INCLUDING POD PRESSES ONLINE.

Items in BOLD are required. Items with ^(x) are for internal use only and will not appear on the public website.

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Circuit/Interstate/International Writer Request Form

Please enter the eight characters you see above into the Security Code field below. If you cannot clearly see the characters, refresh this page until you can.
Security Code
Name Prefix:
First Name:
Middle Name:
Last Name:
Name Suffix:
Biography: (1960-2007) Writer. Siobhan Dowd was born in London, England. She worked in New York City for International PEN for seven years.
Writer Category:
1. N.Y.S.
2. Interstate
Address (1) ^x
Address (2) ^x
City ^x
State
Other State or Region:
Zip/Postal Code: ^x
Travel Range: i.e. "NY only" or "Anywhere, with sufficient notice", etc.
Transportation: i.e. "Car or plane"
Dates Available: i.e. "All Seasons", "Thursdays through Saturdays from September through April", etc.
Fees: i.e. "Negotiable but absolute minimum fee is $100 plus travel, lodging, and meals"
Email Address
Website Address be sure to include http://
Birth Information:
1. Year of Birth:
2. County/Region of Birth:
Literary Works: Enter the following information for each literary work: Title, Year, Publisher, ISBN, Description. Title - Year - Publisher - ISBN - Description Title2 - Year - Publisher - ISBN - Description Etc...

New York State Literary Tree