FSFW 2023 Super Saturday Registration form

Please fill in the form below.

(*) Required Field
Legal Name*

FirstLast
Pen Name (if different)

FirstLast
Name on Name Tag*

FirstLast
E-mail*
example@example.com
PayPal Account E-mail (if different)
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you an active member of Florida Star Fiction Writers? (FSFW active members are eligible for a reduced registration fee.)

YesNo
Will you be donating a fully-assembled raffle basket for the 2023 Super Saturday Event? (No loose items accepted. All baskets must be fully-assembled with a list of items attached.)*

YesNoMaybe
Do you have any special dietary restrictions? Please list them below. As best as possible, we will work with the hotel to satisfy special dietary requirements.
Comments/Questions:
REGISTRATION FEE (includes lunch):
prevnext( X )
Super Saturday Registration - MemberYou must be a member of Florida Star Fiction Writers prior to the March 3, 2023 in order to be eligible for the $30.00 Member rate. **All memberships will be verified.**
$30.00

Super Saturday Registration - Non MemberIf you are not a member of Florida Star Fiction Writers prior to March 3, 2023, then you must pay $60.00.
$60.00

Total

$0.00
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