Registration Form

Please use the Tab key to navigate the Registration Form.
Please send your registration fee to MNPS, Inc., C/O Dr. Debora Mann, 114 Auburn Drive, Clinton, MS 39056-6002 . If you want rather pay by Credit/Debit card please call Peggy Guyton, 228-324-3136.

Registration Fee: $50 - Friday and Saturday (Sunday Optional)
$25 - Friday only
$25 - Saturday only

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Food you will bring *

Entree Vegetable

Registering for: *

Friday and Saturday (Sunday Optional) - $50 Friday only - $25 Saturday only - $25

Submit