Puerto Vallarta Writers Group

Puerto Vallarta Writers Conference
Registration Form

Los Mangos Biblioteca * Francisco Villa 1001 * Puerto Vallarta, Mexico

February 24 - 26, 2012

In an effort to make this the best Conference yet, we would like to tailor our workshops to fit your needs perfectly. Please fill out and send back this questionnaire even if you are not registering yet. No registration will be accepted without this questionnaire having been submitted.
Download this questionnaire file now

To Register for the Conference, please complete the form below...
payment is by PayPal on the following page...

Registration Fee:
until January 31, 2012 ... US$110 *
after January 31, 2011 ... US$125 *
* Note: With payment by PayPaI add $5 service fees ... US$115 or US$130
ALL FIELDS REQUIRED
Your name:  
Address:  
City:  
State:  
Country:  
Phone:  
Email:  

Sell your Book:  
 'Check' if you wish to sell books you have written at the Authors Display Table.

Method of Online Payment:

1. From my Paypal Account  
from email address:  

2. With a Credit Card  
Last 4 Digits of Card:  

All registration fees paid online are in U.S. currency.
Registration:
... until January 31, 2011 ... US$110 *
... after January 31, 2011 ... US$125 *

*Note: With payment by PayPaI add $5 service fees ... US$115 or US$130