Registration Form for the 2019 Conference in Las Vegas Public Safety Writers Association 2018 Conference Registration Form Last Name* First Name (on badge, please limit to 10 characters)* Street address:* City:* State:* Zip* Contact phone:* E-mail:* Days you plan to attend:Full conference (Friday-Saturday-Sunday)Friday & Saturday onlySaturday & Sunday onlyFriday & Sunday onlyFriday onlySaturday onlySunday only Special dietary requirements:Our opening reception (with a guest) and conference participant lunches are included in the conference fees. If you have more than one guest for the reception, let us know and we'll work it out. Conference Fee:*Full Conference--Members--Earlybird to 12/31/2018 $225Full Conference--Non-Members--Earlybird to 12/31/2018 $260Full Conference--Members--01/01/19-04/30/19: $260Full--Members--NO REFUND--01/01/19-04/30/19 $225Full Conference--Non-Members--01/01/19-04/30/19: $310Full--Non-Members--NO REFUND--01/01/19-04/30/19 $260Full Conference--Members--5/1/19-7/6/19: $295Full Conference--Members--NO REFUND--05/01/19-07/12/19 $260Full Conference--Non-Members--5/1/19-07/06/19: $345Full--Non-Members--NO REFUND--05/01/19-07/12/19 $310Friday Sessions only (includes lunch)--Members: $145Friday Sessions only (includes lunch)--Non-Members: $195Saturday Sessions only (includes lunch)--Members: $145Saturday Sessions (includes lunch)--Non-Members: $195Sunday Day Session (includes lunch)--Members: $85Sunday Day Sessions (includes lunch)--Non-Members: $100 50% Refund: List the two "new" people that you persuaded to attend:If you recommended two new people (who didn't attend in 2018, 2017, and 2016), list them in the box above. If you recommend them after you sign up yourself, email firstname.lastname@example.org.Add-Ons to the ConferenceYou can bring extra guests or attend the Pre-Conference Workshop for an extra fee. Name(s) of guest(s) accompanying you to the lunches or reception: Guest lunches ($40 each):FridaySaturdaySunday July 18th Pre-Conference Writers Workshop. No lunch provided, and not included in conference fee:Workshop: Members ($45)Workshop: Non-Members ($50) Total of selected items: Preferred payment method:PayPal (click button at bottom of form)Mail a check (print form and mail with payment--don't submit this form) 150-Word Bio for Program: I would like to sit on one or more panels:*YesNo Suggestions for panel topics: I plan to bring or ship books to sell at the conference bookstore (follow Bookstore link on home page for details)*YesNo What are your expectations for the conference? What other writers conferences do you attend? Comments/Questions:SubmitResetIf you wish to pay your conference fees through PayPal (our preferred method), click the "Submit" button above and complete payment through the PayPal website.If you prefer to pay by check, PRINT THIS FORM, then click the Submit button, but do not complete the process on the PayPal website (clicking the Submit button will add your registration to our database). Mail the printed form and your payment to Mysti Berry, Treasurer PSWAP.O. Box 320612San Francisco, CA 94132We look forward to seeing you in Las Vegas.