Bloody Words XI  
June 3 - 5 ~ 2011

Registration Form

To register for Bloody Words 2011, please fill out this form on your screen, and click on the "submit" button to send by e-mail, or print the completed form and mail to the Bloody Words Address listed below.

Whether you pay by check or by PayPal, you MUST fill out and mail in this registration form either by e-mail (click on "submit" button), or by printing the completed form and mailing to the address listed below. Even if you pay by PayPal, you are NOT registered for Bloody Words 2011 until we receive the registration form.

NEW! Online payment available with PayPal or by credit card through PayPal
If using PayPal , $190.00 Canadian.

If sending in check , $190.00 Canadian
Make check payable to Bloody Words.

(Note: Registration Fee includes reception, banquet, and entry to all non ticketed events.)
(Please note that due to space limitations,only those registered for the conference may attend the banquet)

Click on the logo below to add Registration to your cart using PayPal

Form For Submission

Name:

Name to appear on Badge:

Address:





City

Province/state

Postal/zip code

Phone: (home)(work)

E-mail address:

I am: reader bookseller author media agent

editor librarian publisher Other Specify:

I would like to volunteer to help with pre-conference activities.

I would like to volunteer to help out during the Conference.

Banquet choice: meat fish vegetarian

PUBLISHED MYSTERY AUTHORS ONLY PLEASE COMPLETE BELOW:

My type of mystery is (eg police procedural etc):



Latest book:

Publisher:

Website URL:

I would like to be on a panel.

Suggested panel topic or area of interest:



T-shirts, COST= $20.00

quantity:

size: S M L XL XXL XXXL

I am paying by: Email Check

Click on the logo below to add T-shirt to your cart using PayPal

Mail your registration form (and cheque if not using PayPal) to:

Registrar, Bloody Words 2011
Antje Wagenbach
5918 Jupiter Place
Sooke, BC, V9Z 1B4

PLEASE NOTE: No refunds after May 1, 2011. Refunds before May 1, 2011 subject to a handling fee of $25.

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