First edition, first printing, with "fool Red Cross woman" on page 9. Signed by Ken Kesey on on the front free endpaper. Bound in publisher's green cloth with spine lettered in yellow. Near Fine with light discoloration to cloth along bottom edge, former owner bookplate to front pastedown. In a Very Good+ unclipped dust jacket with blurb from Jack Kerouac to front panel, wear to the extremities, fading to the spine panel, light indentations to the front panel and toning to the blindside. The cult classic novel that served as the basis for the 1975 film starring Jack Nicholson.