Show Me Writers Conference Registration

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First Name *

Last Name *

Address *

Including City, State, Zip

Phone Number *

Best number for us to reach you

Email Address *

We will send most communication through email.

Emergency Contact *

Name and phone number of someone we should contact in case of an emergency

Can we use your picture in promotional material? *

Yes

If you have special dietary concerns, please let us know what they are. We will do our best to accommodate you.

IMPORTANT Payment Info.

Registration will not be complete until we receive this form AND your complete payment.

Your $50 registration includes coffee, tea and doughnuts at opening, then a sandwich & fries or an entree salad, water and cookie at lunch.

Pay your $50 registration fee online by going to https://www.paypal.me/sarahgeringercreates.

Cancellation policy: No refunds will be provided after September 15, 2020.

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