Ty Howard, Mr. Untie the Knots(R), Habits Consultant and Motivational Speaker

Request
Author Ty Howard

Author Appearance and Book-Signing Request Form

( Ty will only discuss, sell and sign his book at your event. He will not deliver his signature, trademarked, keynote message "Untie the Knots^TM". If your group would like for Ty to make an appearance to discuss, sell and sign his book, and deliver his signature keynote, state it in the Additional Comments section below. Knots Free Publishing will promptly contact you to discuss your "special request". )

Name:

First Name:

Last Name:

Company:

Your Title:

Address 1:

Address 2:

City, State and Zip:

E-mail:

Phone:

Fax:

Event Date:

Time of Event:

Theme of Event:

City and State your event will be in:

Your budget for a celebrity author at your event:

How many books will your company pre-purchase for your event?:

Will your company pre-pay for Ty's travel and hotel expenses (if applicable) for your event?:

How long will Ty be allotted to autograph his book?:

Estimated audience size:

Best time to contact you:

Additonal Comments:

Send me a copy:

Thank YOU for YOUR Request Today!

For Quality Customer Service contact:

InspiraGen Institute, LLC
6400 Baltimore National Pike
Suite 134
Baltimore, MD 21228

Local Phone: 443-982-7582

Toll Free: 1-800-385-3177 Ext. 0