If you prefer, you may print this form and mail it along with your credit card info or a check or money order.
Registration
Write His Answer Seminar October 22-23, 2010 RIverview Alliance Church Oconto Falls, Wisconsin
Date: -- mm/dd/yy
Please provide the following contact information:
First Name Last Name Street Address Address (cont.) City State/Province Zip/Postal Code Work Phone Home Phone E-mail Web site
Writing experience (choose one):
Beginner - not yet submitted a manuscript to an editor Novice - some submissions but no sales, yet Intermediate - published in magazines, working on a book Advanced - have published a book
Registration fee Includes coffee breaks
Earlybird registration - postmark or register online by September 15 - $59
Regular registration - register online or postmark by October 15 - $69
Late registration - after October 15 & at the door - $79
Choose one of the following options:
VISAMasterCardDiscoverAmerican Express
Total charge to card
Credit Card #
Exp Date V code from back of card
Name on card:
First Name Last Name
Billing address (if different from above)
Street Address Address (cont.) City State/Province Zip/Postal Code
Comments or special needs
Paying by check?
Make check payable to Write His Answer Ministries and mail to:
Write His Answer Ministries 951 Anders Road Lansdale, PA 19446