ROMANCING THE ROCKIES CONFERENCE REGISTRATION
Sponsored by Colorado Romance Writerstm<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />....
May 1 & 2, 2009....
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Name ....
Address
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Phone Number
E-mail Address
Agent Appointment? Yes No
First Agent Choice
Alternate Agent ....
Editor Appointment? Yes No
First Editor Choice
Alternate Editor ....
*NOTE: Appointments will be given on a first-registered, first-served basis. All finalists in CRW’s Heart of the Rockies & Award of Excellence Contests will be offered appointments first. ....
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Friday Evening Dinner Choice (circle one):
· Riesling Chicken (Crispy 6 oz Breast of Chicken with Wild Mushroom Riesling Sauce, Vegetable Medley, and Garlic Mashed Potatoes)....
· Mahi Mahi with Ginger Aioli (Grilled Mahi Mahi served with Roasted White Wine Garlic Sauce) ....
· Pasta Primavera: Sateau of Vegetable Medley with White Wine Cream Sauce topped with Parmesan Cheese.....
***ANY SPECIAL DIETARY NEEDS or ALLERGIES?_________________________________***....
CRW member? Yes No
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CRW Members: Early Bird Registration $189; Late Registration (Begins 4/15/09) $199
Non-Members: Early Bird Registration $199; Late Registration (Begins 4/15/09) $209....
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Extra Event Tickets for Significant Others/Guests:
Friday Keynote Dinner Ticket - $30 each Saturday Award Luncheon Ticket - $25 each.
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Quantity needed: Fri ___ Sat ___ Amount $ _______________ ....
Total amount enclosed: _______________
(Including conference fee, extra Friday Keynote Dinner and/or Saturday Luncheon tickets.)....
Please make your check payable to Colorado Romance Writers and send to CRW c/o Louise Suit, Conference Registrar, P.O. Box 448, Eastlake, CO 80614-0448....
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Photocopies of this form are accepted. ***NO refunds/cancellations will be granted.*** ....
Registrants are responsible for all returned check fees.
for more details check out our website www.coloroadoromancewriters.org