Registration Form

WHITE COUNTY CREATIVE WRITERS CONFERENCE

September 3, 2022

PRESS CTL + P to print.Click here to return to WCCW website.

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY: ______________________________________________ST_____ZIP________________

PHONE: _________________________

EMAIL: _______________________________________

AMT ENCLOSED: $____________

CONFERENCE REGISTRATION: $35
Registration Fee includes Luncheon. Registrations must be postmarked by August 27, 2022. You may also register at the door, but lunch may not be included.

TABLE RESERVATIONS: $5.00 Table size (half-table) is approximately 36×30. Limited space available. Tables not available for walk-ins. Please call (501) 827-8608 to reserve a table. Send table fee with registration fee.

Please remit payment to:
White County Creative Writers
c/o Kim Vernon • P.O.Box 444 •  Pangburn AR 72121