Author Registration
Once this form is received an informational email will be sent to the email address provided
Legal Name *
Your answer
Author Name *
Your answer
Name on Badge *
Your answer
Mailing Address *
Your answer
Email address *
Your answer
Phone Number
Your answer
Food Allergies/Dietary Restrictions *
Interested in participating at the book signing *
As a particpating author, I agree to receive and read emails pertaining to the conference *
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