Schedule A Personal Appearance Scheduling Form Name(Required) First Last Organization Name(Required) Phone(Required)Email(Required) We are interested in(Required) Facing Life’s Extreme Circumstances and Coming Out a Winner Medical Marijuana – Miracle, Myth or Money Dump My Pathway to Traditional Publishing Select Tentative DatesDate #1 MM slash DD slash YYYY Time #1(Required) Hours : Minutes AM PM AM/PM Date #2 MM slash DD slash YYYY Time #2(Required) Hours : Minutes AM PM AM/PM Date #3 MM slash DD slash YYYY Time #3(Required) Hours : Minutes AM PM AM/PM Date #4 MM slash DD slash YYYY Time #4(Required) Hours : Minutes AM PM AM/PM Comments