Florida Christian Writers' Conference

You may use this form for on-line or mail-in registration

Cancellations before February 15, 2012  will receive a full refund minus a $75 administrative fee.

Emergency cancellations after that date will be evaluated on an individual basis.

Your Information
Name
Gender
Male
Female
Age
Address

City
State

Postal Code
Phone
E-Mail   (leave as-is if you don't have email)
Church Denomination
Roommate choice

Type - "Need room mate" if you want us to provide one at the double occupancy rate.

Type - "Optional" if you request a single but will take a double with a room mate if necessary.

If you leave "None" or blank, and request double occupancy, we'll assume you need a room mate.
Referred by
Price Selections Information
   Lodging Options:
Lodging Options:  
Double Occupancy Meals and Tuition: $775 
No Lodging: Meals and Tuition only: $625
No Lodging, No Meals: Tuition only: $465

Single Occupancy Meals and Tuition: $975

(Non-participating spouse lodging free with

single room occupancy)
Teen Track Special (Age 13-19): $450 (Includes fees, food, lodging)

Single Day Registration: $175 each day

No lodging, no meals, and one manuscript

submission

 Thur Fri Sat Sun
Mentoring Track - Fiction (limited to 10 participants) +$50
Mentoring Track - non fiction (limited to 10) +$50
Non-participating spouse meals +$145 If lodging with a non-participating spouse, you must sign up for single occupancy rate above
Airport Shuttle +$90
Feb 29 Lodging - 2 Meals +$95
Feb 29 Lodging - No Meals +$75
Registration before 12/24/11 Discount -$20 Discount period has ended
Discount Paying by Check or Money Order -$10
Arrival date- time -airline -flight#

Departure date- time -airline -flight#

You will be given the option to continue with on-line registration on the next page

And you will be given instructions on how to mail in your registration if you do not want to process on-line with a credit card

Billie Wilson
2344 Armour Ct.
Titusville, FL  32780