AForm-FindThird

Finding Your Third Place Keynote Breakfast

Featured authors will receive up to TWO free tickets, one for the author and one for the author’s escort, spouse or colleague. We will hold the tickets for pick up with the badges, when your author arrives at the show. If your author would like any special accommodations at the event, you may also note that on this form.

Complete and send this form as soon as possible and no later than Friday, August 16

Featured Author Information Form

Finding Your Third Place Keynote Breakfast

* Indicates required field

Author Name *

First

Last

Personal Pronoun *

Book Title *

Publisher *

Publisher Contact *

Publisher Contact Email *

Publisher Billing Contact *

Billing Contact Email *

Author photo: *

JPG, PNG or GIF

Author's Meal Preference *

Sausage Cheddar Croissant Veg-Muenster Croissant Yogurt Parfait w/Granola

Escort/Guest Name *

Personal Pronoun *

Escort/Guest Meal Preference *

Sausage Cheddar Croissant Veg-Muenster Croissant Yogurt Parfait w/Granola

Any Other Special Requests: *

Submit

Finding Your Third Place Keynote Breakfast

Featured Author Information FormFinding Your Third Place Keynote Breakfast

Featured Author Information Form

Finding Your Third Place Keynote Breakfast