Author & Payment Info

Please complete the form below.

We will use your author info (pen name, genre(s), website, city, etc.) for promotion materials and activities.

The additional information will be used to speed up payments to authors following the event.

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Your Name (real name, please):*

Email:*

Author Name (pen name):

Genre(s) (please limit to four):

Website:

Your City:

We'll be doing special promotions for people who dress in costumes. So please consider.

Will you be in costume?

Please complete the following so we can get your payment to you.

How should we make out your check:

Mailing Address for Your Check:

Comments or questions:

The Last God