Author Booth Signing Application
Keystone State Reading Association
Forty-fifth Annual Conference
Read and Shine!
October 27-30, 2012
Seven Springs Mountain Resort
Exhibitors who will have author signings at their booths are asked to complete this form. KSRA will make
every effort to make sure that the position of your booth allows a reasonable amount of space for such
signings with a minimum disruption to neighboring exhibitors. If you need an extra table for signing, it
must be included on your Application and Exhibit Space Contract and paid for.
This application must be returned by August 1, 2012. Those who complete this form will have the
information printed in the conference program. If the form is received after the deadline, no promise
can be made that it will be in the program.
If you will have more than 1 author signing at your booth, complete a separate form for each author. There
is no charge for booth signings. If you have more than one author, complete this form for each author.
CRITICAL: This form only applies to author signings in the exhibit hall. It is completely separate
from any conference author breakfasts, teas, and other activities. This form does not replace any forms
required for those conference author activities.
Complete and send to:
Stephanie Romano/Rhonda Sutton
KSRA 2012 Exhibits
P. O. Box 138
Effort, PA 18330
Company Name ________________________________________________________________________
Person Responsible for Author ____________________________________________________________
Address ____________________________ City__________________State________ Zip Code _______
Phone _______________________ Fax ________________________E-mail ______________________
Author Name _________________________________________________________________________
Sunday, October 28 _____________________________________________________________________
Monday, October 29 ____________________________________________________________________