Request An Author Zoom Visit Application request form for Tupelo Press Author Zoom Classroom visits Name * First Name Last Name Email * Phone (###) ### #### Institution Name * Name of Course Requested * Day and Time of Class Meeting * Please Indicate any scheduling flexibility * Which author(s) would you like to schedule for a zoom class visit? * Have you adopted their book into your curriculum? * Yes No Unsure If not, would you like to request a desk copy? * Yes No Maybe - Check back next semester For a desk copy, please provide a mailing address: Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
