Kentucky Storytelling Association

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Registration Form for 2016 Conference

Register early and SAVE!

Early Bird Registration discount -
Deadline October 28th
Single Family of 3 or More

KSA Members & Pike County Residents $55 $110
Non-members $75 $190

After October 28th Single Family of 3 or More

$80 $200

Step 1. Fill out the Registration Form below.

Step 2. Pay for the conference: by mail or online

Note:
Early Bird discount registration payments need to arrive online or be postmarked by October 28th.

Mailed full fee registration payments need to reach KSA by November 3rd.

Online full fee registration payments can be accepted as late as the morning of the Conference.

Registration Form for 2016 Conference

Name
Do you need a sign language interpreter or other form of accommodation for this conference?	Yes No
If so, please describe your need.
Street Address
City
State
ZIP code
E-mail (optional)
Telephone
Name for Conference Name Tag

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