1. Print off, complete and mail this form to:
American Christian Writers
PO Box 110390
Nashville, TN 37222

2. Include either
a. Check or money order
b. Or include credit card information:
Credit Card Type (Visa, etc):
Card Number:
Expiration care:
Three-digit security code (from back of card)

Online registration

1. Copy and paste form below and fill in information

2. Email to ACWriters@aol.com

3. Click button to pay total amount securely with any major credit card through PayPal

Registration

Name:

Address:

City, State, Zip

Phone/cell phone:

Email:

Conference location:

Check appropriate boxes

For two-day conference

[ ] Both days: $250 three weeks prior to conference date; $275 within three weeks of conference
[ ] Friday only: $150 three weeks prior to conference date; $165 within three weeks of conference
[ ] Saturday only: $150 three weeks prior to conference date; $165 within three weeks of conference

[ ] I am an ordained minister or spouse of paid attendee and qualify for reduced tuition of 50 percent

[ ] I am a paid attendee and will be attending the banquet: $25
[ ] I am the spouse of a paid attendee and will be attending the banquet: $29

For one-day conference

[ ] $150 three weeks prior to conference date; $165 within three weeks of conference

[ ] $75 for an ordained minister or spouse of paid attendee

Mentoring retreat

[ ] $449 if paid prior to 30 days before the event
[ ] $499 if paid after 30 days before the event

[ ] $25 for spouse's dinner Friday
[ ] $20 for spouse's lunch Friday
[ ] $20 for spouse's lunch Saturday

Specify your genre:
[ ] Article writing
[ ] Children's writing
[ ] Devotional writing
[ ] Nonfiction book writing [ ] Writing for youth
[ ] Fiction book writing

Other options

[ ] I am a member of ACWA & eligible for 10 percent discount

[ ] I wish to join ACWA for $49 per year

[ ] I wish to donate to the scholarship fund the amount of: $

Total payment: $