Work With Jakayla
Please fill out the form below.
Name
*
First Name
Last Name
Organization/School
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Website (if applicable)
How would your organization like to work with Jakayla?
*
Write On With Jakayla Workshop
Meet the Author (face-to-face)
Meet the Author (Skype in the Classroom)
Bulk Book Order (orders of more than 30 receive discount)
Speaker/Panelist
Book Signing
Book Club
Host A Daddy-Daughter Day Out
Collaboration/Partnership
Other
Expected Date of Event
Expected Time of Event
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Location of Event (City, State)
Expected number of people
Budget for this event/bulk book order
Details of your event.
*
Submit
Should be Empty: