Registration

Please complete and submit the registration form:

About you

First name *

Last name *

Pen name

(or name you prefer to use in class)

Email Address *

This address will be used for Yahoo group invitation.

Phone Number *

This number will only be used in the event we are unable to contact you via email.

Class title *

Self-Publishing - LARA member

Self-Publishing - non-member

Please select the online class you would like to attend.

LARA member? *

Yes

No

Are you a member of LARA?

Referral *

LARA meeting

LARA website

LARA classes email (mailing list)

RWA Chapter Events

Referred by a friend

Flyer

Other

How did you hear about this class?

Add to newsletter? *

Yes

No

Would you like to be notified via email about future classes? If you click yes, the email address you entered in this section will be added to our online classes newsletter list.

Payment

Payment method *

PayPal

Check*

*Check option is available only if class begins 2 weeks from now or later, thanks!

PayPal Email

If you use a different address for PayPal, enter it here!

Street Address *

Address is for payment verification purposes only.

City *

State *

Zip Code *

Note

Additional questions or concerns, please let us know here.

Rate form

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5

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10

Please rate your satisfaction with this registration process (1 = horrible, 10 = super fantastic)

To ensure that we know you have registered, please make sure you clicked “submit” above and complete your payment!

Once registration and payment are complete, please add lararwa.com to your safe senders list, so your invitation to the online classroom doesn’t go astray in your spam filters. Thanks!!

If you are paying via check, please either bring it to the next LARA meeting (before the class begins) or send payment to LARA Classes, c/o Los Angeles Romance Authors, PO Box 261572, Encino, CA 91426-1572. Please make your check is payable to Los Angeles Romance Authors and include a copy of your registration confirmation email.

Note: If you are registering within 2 weeks of the registration deadline, it is requested that you pay via PayPal. Please contact the class coordinator if you have any concerns.