Black Book Fair Exhibitor's Application

(Please return by February 28, 2015)

I will participate as an author/illustrator/publisher in the Black Book Fair sponsored by the Brooklyn Alumnae Chapter, Delta Sigma Theta Sorority, Inc. at Medgar Evers College at the Academic Complex Science Building, 1638 Bedford Avenue (between Crown and Carroll Streets) in Brooklyn, NY on Sunday, April 19, 2015 from 2pm to 6pm.

Name *
Name
Address *
Address
Phone *
Phone
Fax
Fax
Check the appropriate space(s): *
Please fill in the following information about your most recent work(s).
Please fill in the following information about your most recent work(s).
Intended audience/reader