Puerto Vallarta Writers Group

Puerto Vallarta Writers Conference
Registration Form

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

February 26 - 28, 2010

Please complete the form below...
payment is by PayPal on the following page...

Registration Fee:
until January 31, 2010 ... US$105 *
after January 31, 2010 ... US$125 *
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, 2010 ... US$105 *
... after January 31, 2010 ... US$125 *

*Note: Includes $5 service fees for payment by PayPal