Elder Forest Publishing™
Interview Request Form
Use this online form to request an interview with an author or staff member.



Person you would like
to interview:
Name of book (if known)
related to this request:
How will the interview
be conducted?:
Phone    Live    E-mail    Mail    Other
In which medium will
the interview appear?:
TV    Radio    Print    Internet    Other
Your Name:
Your Organization Name:
Address:
City | State | Zip:
Email:
Phone (optional):
Comments (optional):

Or fill out, print and FAX to 815-366-9755 • Or Call 800-428-0552 ext. 3 for immediate assistance.
Or Mail to: Elder Forest Publishing Group, PO Box 6368, South Bend, IN 46660.
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