Name___________________________________________________

Address_________________________________________________

Phone___________________________
E-mail___________________________

Conference is $125.00 (Early Registrations) for all 3 days.
After May 1st, $175.00
Includes 2 Meals (Lunch & Dinner Sat.)
Special Dietary Needs___________________________________

$25.00 Reservation Deposit
Enclosed is a:  Check*____      Credit Card Info ____
*Make Check payable to Circle Studios/MMC

We accept VISA or MASTERCARD
Visa or Mastercard Information:
#:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

Name:__________________________  Exp.(Month/Year):___________

Lodging Information: 800-638-7352
Would Like To Attend Fri. John Two-Hawks Concert ($20) (Yes/No)_______

Send the original, fully completed Registration Form along with deposit to:
Circle Studios/MMC
c/o Peggy Hill
200 Medicine Way
Eureka Springs, AR 72632
866-444-0940

VENDOR SPACE AVAILABLE!