
REGISTRATION
CONFERENCE JUNE 25-JUNE 27, 2010
Full conference registration
includes all Friday night, Saturday and Sunday panels, the Deadly Dessert Party
on Friday as well as the Awards Gala on Saturday night.
Name_________________________________________________
Address _______________________________________________
______________________________________________________
Email: ________________________________________________
Phone: _____________________________
Website: _________________________
DEADLY INK
_________ Early/ Full Conference By 3/15/10 $180.00
_________ Regular/Full Conference By 5/31/10 $190.00
_________ Full Conference After 5/31/10 $210.00
_________ Full Conference at the door $220.00
_________Awards Gala for companion $55.00
_________ Deadly Dessert Party for companion $15.00
_________ Saturday luncheon for companion $30.00
-or-
_________ All 3 companion meals package $85.00
(saves $15.00)
Total paid with this registration: $______________
___check/Money order
___Credit card type: ___MC ___VISA
Name on card: __________________________________
Card #: ________________________________________ Expiration date: ________________
Security code: ____________________ (3 digit number on the back of a MC or VISA)
FAX REGISTRATION FORMS TO 973-234-5097
OR MAIL TO: DEADLY INK PO BOX 6235 PARSIPPANY, NJ 07054
___________ I am an author and would like to be on a panel.
Panel suggestions: ______________________________________________________
______________________________________________________________________________
___________ I am a fan and would like to be on a panel
I belong to: __________ Deadly Ink ________Sisters in Crime ________SPAWN _____IMPS
__________MWA _________ILWG ________RWA ________SPAN _____ IBPA
__________Other: _______________________________________