Pre-PayPal Information Registration Form
Limited Space Available.
2010 ONLY - Expired
 - archive

Address: Full Mailing Address

Phone Number: 

Email:  

1 Featured Title/Subject (for nametag & PR):

Other Titles: Optional  

Please group me with other (click one)
Fiction
Non-Fiction authors.
(click one)
All
Most of my titles are thus.

For PR purposes, the subject matter of my title(s) can be categorized in: Optional

Lunch Preference (please click one)
I will pick up my box lunch in the atrium.
Please deliver my box lunch to my display.

Please email promotional material (or web address to pick PR up), in text, separately. Emails with attachments may be automatically discarded by Gregath's spam filter. Material can include book and author pictures, biographical information, book information, public email contact, web address, link to publisher, etc.

Please bill me using PayPal

Registration payment should include: Number and type of registration fees