conference registration

TO REGISTER: HIGHLIGHT THIS FORM, RIGHT CLICK AND PRINT

MAIL FORM & PAYMENT TO ADDRESS LISTED BELOW

Berries, Bridges and Books Writers Conference

"Write, Edit, Publish!"

REGISTRATION FORM

NAME:______________________________________________

ADDRESS: _________________________________________

CITY: _________________________________STATE: ________

ZIP:__________________

CONTACT INFORMATION:

Phone: (______)____________Cell: (______)______________

Email: ______________________________________________

PLEASE CHECK ALL THAT APPLY TO YOU:

______Author

______Writer (published or non-published)

______Journalist

______Illustrator/Photographer

______Reader

AREAS OF INTEREST:

____Biographies ____Mystery/Suspense

____Non-fiction ____Children’s

____Fiction

____Paranormal fiction ____Christian/Inspirational fiction

____Crime fiction ____Romance

____Historical fiction ____Other (please list) __________

PAYMENT: $40 Pre-Registration by June 7, 2019 .

$45 Registration fee after June 7th & at the door.

(fee includes catered meals)

Please make checks payable to Creative Minds Writers Group (CMWG)

Mail payment to: Creative Minds Writers Group

PO Box 584

Ponchatoula, LA 70454

*QUESTIONS? Find us on Facebook @ Creative Minds Writers of Ponchatoula