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Non-RWA Member Attendee
(All attendees must be 18 or older.)
SOUTHERN MAGIC ROMANCE READERS LUNCHEON
Saturday, November 1, 2014
Name
*
First
Last
Email
*
Phone Number
*
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Address
*
Street Address
Address Line 2
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State / Province / Region
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Angola
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Burundi
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Cape Verde
Central African Republic
Chad
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Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
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Guinea
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Kenya
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Libya
Madagascar
Malawi
Mali
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Mauritius
Morocco
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Namibia
Niger
Nigeria
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Senegal
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South Africa
Sudan
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United Republic of Tanzania
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Country / Region
Payment Method
*
-Select-
PayPal
Check sent via snail-mail
Payment Amount
*
-Select-
$40 until Aug 31
$48 Sept 1 to Oct 26
Wait list Oct 27 and after (please wait for instructions before you pay for wait list)
Please indicate the number of previous Southern Magic Romance Readers Luncheons you have attended, if any.
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0
1
2
3
4
5
6
7
8
9
10
11
I'm interested in learning more about Southern Magic and RWA.
Yes
No
Who you would like to see in the future at the luncheon?
Your favorite romance genre:
-Select-
Contemporary
Historical
Paranormal
Romantic suspense
Erotic
New adult
Other
If "other," please specify:
Your second favorite romance genre:
-Select-
Contemporary
Historical
Paranormal
Romantic suspense
Erotic
New adult
Other
If "other," please specify:
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