M&M Registration Moonlight & Magnolias Conference Legal Name* First Last Name for Badge* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Registration Type*GRW membership will be verified against our database. Regular registration will start 3/15. Late registration will start on 8/1.GRW Member ($270.00)RWA Member ($285.00)General Admission ($305.00)RWA Member number*Add-OnsWe are moving to a mobile app for our program guide and additional information. A printed program can be purchased for an additional cost. Printed Program Author listing (with active website link) in mobile app Screen banner advertisement in mobile app Thursday field trip to Roswell Fire Department (part of the proceeds will be donated to charity) Extra Maggie TicketsGuest tickets for the Maggie Awards banquet for non-conference attendees. Maximum of 5 allowed. Cannot be purchased without a valid registration. Price: $55.00 Quantity: Dietary restrictions Vegetarian Gluten-free Additional dietary needs or food allergies? Additional dietary restrictionsPlease indicate any options you are interested inYou will be contacted if you select any of these. The Pitch Workshop is at 9 AM on Friday morning. The Book Signing is on Saturday afternoon. Editor or Agent appointments Pitch Workshop (get help with your pitch) Help other writers in the Pitch Workshop (Published authors only) Participate in the Book Signing Volunteering Is this your first M&M?YesNoWe'd like to know more about our attendees.Please check all that apply Curious about writing Unpublished Indie Published Traditional Published PRO member PAN member In what genre(s) do you write?Total $0.00 Coupon Problems with the form? Contact the Web Administrator for help.