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
email: creativemindswriters@gmail.com or leave us a message on the