Writing Conference Registration Form

LITTLE ROCK AMERICAN CHRISTIAN WRITERS CONFERENCE

May 17, 2014

8:30 am to 3:30 pm

The Summit Church

6600 Crystal Hill Road, North Little Rock, AR 72118

Please print

Name:___________________________________________________________________

Street Address:____________________________________________________________

City: _______________________________        State:  _______           Zip:  _____________

Phone:  ___________________    Email:________________________________________

                                                                                                                                                          

[  ] Please book my registration for $35 (LRACW members—current dues paid)                                $___________

[  ] Please book my registration for $40 (LRACW non-members)                                                          $____________

[  ] Yes, please order my lunch ($10). Please be sure to check and circle your choices below.          $____________

             Sandwich (includes chips, chocolate chip cookie and drink):

      [  ]   Smoked Turkey Breast; circle your choice of bread: hoagie, wheat, pumpernickel or gluten-free bread

      [  ]   Chicken Salad; circle your choice of bread: wheat, hoagie, pumpernickel or gluten-free bread

      [  ]   The Garden (Swiss, Cheddar, and Provolone cheese, mushrooms, sunflower seeds, and spinach pate on pumpernickel

OR

  Salad (includes chocolate chip cookie and drink):

        [  ]  Turkey and 3 Cheese Salad; circle your dressing: House, Ranch, 1000 Island or low fat Italian

        [  ]  Chicken Caesar Salad: marinated chicken breast, Parmesan cheese, croutons and Caesar dressing

[  ] Yes, I would like to display or sell my works; please reserve my $10.00 table:                    $____________

TOTAL ENCLOSED:       $____________

We would like to offer you an opportunity to join one of our speakers at their lunch table.  Please note your first, second, and third choices.  We will make every effort to accommodate your first choice.

_______             Darcy Pattison, Keynote Speaker (Blogs, Social Media, and Writing for Kids)

_______             Shannon Taylor Vannatter (Cut the Fluff: How to Write a Great Read)

_______             Deborah Howard (Query Letters)

NOTE:  Registrations at the door will be $45 for everyone.  Reserve your spot early and save!

Please make your check payable to:  LRACW        

Mail your check and this registration form to:

Cindy Hansberry

124 South Shore Drive

Maumelle, AR  72113

570-971-8283 (cell)