VABook! Program Application

COMPLETE ONE APPLICATION PER PROGRAM. Program information may be faxed (804-296-4714), mailed (VABook!, 145 Ednam Drive Charlottesville, VA 22903), or emailed (vabook@virginia.edu).

Program Deadlines:
1. Friday, December 1, 2000 - For inclusion in the Advance Program (February 2001)
2. Monday, January 15, 2001 - For inclusion in the Final Program (March 2001)

DEADLINES ARE ABSOLUTE -- EARLY APPLICATIONS ARE WELCOME!


ORGANIZATION INFORMATION:
Name of Organization:
Organization Contact Person
Address / ZIP
Phone / Fax / Email
PROGRAM INFORMATION:
Program title & Description
(20 words or less - include
program title and participants.
Please see examples below.)
Program title 7 Description
Examples (VABook! 2000)
Example #1 - Five Sister: James Fox talks about the Langhorne sisters with family member Langhorne Gibson.
Example # 2 - The Comic Novel: A discussion on humor writing with Tom Perotta, Elinor Lipman and Mameve Medwed.
Date (circle one) - Many Friday and Saturday time slots are reserved; requests for these days will be reviewed by the Program Committee:
Wednesday,
March 21
Thursday,
March 22
Friday,
March 23
Saturday,
March 24
Sunday,
March 25
Time (circle one):
2, 4, 6 p.m. 10 a.m., 2.
4. 6. 10 p.m.
10 a.m., 2.
4. 6. 10 p.m.
10 a.m., 12,
2. 4. 6. 10 p.m.
1:30, 3:30 p.m.
Location:
Will a book signing follow? Yes, at : No
Program Host:
Program Moderator:
Program Participant 1:
Program Participant 2:
Program Participant 3:
Program Participant 4:
Names of Volunteers (2): &
ADVERTISING:
Please indicate if you are interested in purchasing advertising in the:
40,000 area distribution Final Program
Web Site www.vabook.org