RWA® Chapter Southern Magic’s
1st Annual Romance Readers’ Luncheon

Registration Form must be received by October 27th, 2004
Space is limited to the first 100 attendees
Book Signing is open to the public
Registration: $25.00

Please Print Name: ______________________
Address: ______________________________
_____________________________________
_____________________________________
Phone Number: ________________________
Email Address: ________________________

Make checks payable to:
Southern Magic

Print, Fill In, and Return this page with your payment to:
Southern Magic Luncheon Registration
420 Wilderness Road
Pelham, AL 35124

Southern Magic is a chapter of the Romance Writers of America®, a non-profit organization.