Online Registration

* Name:

* Street:

* City:

* State:

* Zip:

* Email:

Phone:

Second Phone:

Preferred method of contact:

Best time to contact:

Major area of interest:
(i.e. - mystery, children, romance, historical, non-fiction, sci-fi, thrillers, essays, poetry, etc.)

* How did you hear about the MWA Conference?

* Cost:
MWA member: $120.00
Non-member: $160.00
(pay now and register as a member: $35 annual dues)
Full-time student: $85†
Member w/agent or editor session: $150
Non-member w/agent or editor session: $190
Additional editor/agent session: $30
Limit of only 2 agent or editor sessions per person
† must show student ID on arrival at conference

* Total dollar amount: