Registration Form | kimharnes

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Registration Form

First Name

Last Name

Email

Phone

Genre (optional)

Select an item ($)

Full Conference with Single Room - $325

Full Conference with Single Room + Critique - $375

Full Conference with Double Room (please complete Roommate field below) - $225

Full Conference with Double Room + Critique (please complete Roommate field below) - $275

Full Conference with no overnight stay - $125

Full Conference with no overnight stay + Critique - $175

If you selcted one of the "Double Room" options above, do you have someone who will attend with you and share your room?

Yes (Please complete the Roommate field below for room assigment purposes)

No

Name of Roommate (NOTE: Roommate must also register separately)

Thanks for registering to our event. See you there!

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