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  • Registration Form 2

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    write2ignite
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    This registration form is for the Write 2 Ignite 2010 conference. It collects the registrant's contact information, how they heard about the conference, their registration category, payment details, and lunch preference. Registrants can choose between adult, college student, teen, or middle school student registration and pay the corresponding fee, selecting the number attending. They also indicate if they want a regular or vegetarian lunch. Payment is made by check to Write 2 Ignite and mailed to the provided address.

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    This registration form is for the Write 2 Ignite 2010 conference. It collects the registrant's contact information, how they heard about the conference, their registration category, payment details, and lunch preference. Registrants can choose between adult, college student, teen, or middle school student registration and pay the corresponding fee, selecting the number attending. They also indicate if they want a regular or vegetarian lunch. Payment is made by check to Write 2 Ignite and mailed to the provided address.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    15 views1 page

    Registration Form 2

    Uploaded by

    write2ignite
    This registration form is for the Write 2 Ignite 2010 conference. It collects the registrant's contact information, how they heard about the conference, their registration category, payment details, and lunch preference. Registrants can choose between adult, college student, teen, or middle school student registration and pay the corresponding fee, selecting the number attending. They also indicate if they want a regular or vegetarian lunch. Payment is made by check to Write 2 Ignite and mailed to the provided address.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    WRITE2IGNITE 2010 REGISTRATION FORM

    Name

    Address
    City/State/Zip

    Phone #

    Email

    How did you hear about this conference? Please check the box

    Radio __ TV __ Email list Poster __


    __
    Friend __Church __ Postcard Speaker
    __ __

    School __Press Writer’s Other __


    Release group __
    __

    Check what applies to you

    Adult Middle school High school College


    __ student__ student__ Student __

    REGISTRATION PAYMENT INFORMATION

    Adult Registration fee $90 x ___


    College Student Registration $45 x __________________
    Teen Track fee $45 x ___

    Total _________
    Regular lunch___ or vegetarian___

    Make checks payable to: Write 2 Ignite


    Please send this completed form with your payment to

    Write 2 Ignite

    5707 Fairvista Dr., Charlotte, NC 28269

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