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Celebrate Romance
Registration Form

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NOTE: This page is not printing properly in Netscape at this time. Use Internet Explorer to print it, or go to the Files section of CRNewsletter@yahoogroups.com and print out the form in the 'revamped' file.

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Have you read the Registration Information page yet? If not, please read it first in its entirety *before* filling out the registration and mailing it in.

Registration Information

Print out and mail this form, along with the registration fee, to the event coordinator at the address below. An email confirming receipt of your form and payment will be sent to the email address on record; receipts are sent out in batches so don't panic if one doesn't appear right away.

*Registration fee: $120.00
*Registration deadline: April 26, 2003 (date of receipt, not postmark), unless all spaces are taken before that date.
**Make check or money order payable to Margie B. Wilhelm ONLY!** Check/m.o. will be returned if written any other way.

Using Paypal.com to pay for registration? Check here [ ] and either print and send this form, or cut-and-paste it into an email.
____________________________________________________________

Please print clearly (especially your email address):

Name________________________________________________________

Address_____________________________________________________

City______________________ State_______ Zip__________

Phone No, with Area Code (Optional)______________________________

Email address___________________________________________

____________________________________________________________
READER SECTION:
1. Are you a member of an Internet romance list or bulletin board?________

If yes, which one(s) (limit list to your top six):





2. Do you run a romance website?________ If yes, what is the URL for your site?



3. Have you attended other Celebrate Romance gatherings? If so, which ones?




____________________________________________________________
AUTHOR SECTION:
1. Please list any pseudonyms used for current and past books



2. Who is your publisher?



3. What is your website's URL?



4. Have you attended other Celebrate Romance gatherings? If so, which ones?



NOTE TO AUTHORS: We'd love to publicize the fact that you are joining us at CR2003! Please email a mini-bio to our author coordinator, Janice Bennett at jankbennett@attbi.com as soon as possible
____________________________________________________________
MAIL COMPLETED REGISTRATION FORM AND CHECK OR MONEY ORDER (WRITTEN TO MARGIE WILHELM) TO:
Margie Wilhelm
CR Event Coordinator
4880 San Juan Ave
PMB 123
Fair Oaks, CA 95628


See you in Sacramento!