Conference Registration

Your First and Last Name (required)

Street Address (required)

City (required)

State/Province (required)

Zip (required)

Country (required)

Your Email (required)

How did you hear about the Writers at Work Conference?

Workshops (please indicate your first choice)
---Poetry - Katharine ColesMulti-Genre - Michael MartoneFiction - John DufresneNonfiction - Christopher Merrill

Workshops (please indicate your second choice)
---Poetry - Katharine ColesMulti-Genre - Michael MartoneFiction - John DufresneNonfiction - Christopher Merrill

Reservation: If paid in full by April 30, consultation is free
---Tuition, no housing is $675Tuition, no housing, add consultation is $700Tuition, dormitory room is $770Tuition, dormitory room, add consultation is $795Tuition, shared room is $820Tuition, shared room, add consultation is $845Tuition, private room is $940Tuition, private room, add consultation is $965

You must send a deposit of $150 or pay in full. Space is limited to 65 participants. If you withdraw before May 22, 2013, your payment—minus the $35 processing fee—will be refunded; deposits are non-refundable after that date. Your balance will be due on May 31, 2013.