2012 South Coast Winery Resort & Spa – SCBWI Writer’s Retreat

                               REGISTRATION FORM

                                MAY 4 – May 6, 2012

Print Registration form out, fill it in and Mail Registration, critique manuscript, contest manuscript, first page and checks (payable to SCBWI – Francesca Rusackas) to:

    SCBWI – Francesca Rusackas

    4195 Chino Hills Pkwy. #381

    Chino Hills, CA 91709

NAME            __________________________________________________________________
 

STREET __________________________________________________________________
 

CITY______________________________________________STATE_________

ZIP_________________

PHONE___________________________________________________________         

EMAIL            __________________________________________________________________
 

Please print e-mail neatly          

Genre you are most interested in:

_____ Picture Book _____Middle Grade ____YA  ____Non-Fiction        

 Please register me for:

 _____    SCBWI Member- Full Conference, no accommodations (Day Trippers): $195 total per person includes Saturday and Sunday Conference

_____    Non-Member- Full Conference, no accommodations (Day Trippers): $210 total per person includes Saturday and Sunday Conference.  Save $15 by registering as a member,
visit: http://www.scbwi.org

Conference Extras:

_____   Friday Night VIP Reception: $15.95 (Attendees only)

_____    SCBWI Member Manuscript Critique, Attendees only $45 (must be postmarked by 3/30)

_____    Non-Member Manuscript Critique, Attendees only $55 (must be postmarked by 3/30)

_____    Contest, Free and open to Attendees only – (must be postmarked by 4/14)

_____     First Pages - Free and open to attendees only

             Total Enclosed: $ ____________     Check Number ________     
  
 
            

No refunds for program changes. Email conference cancellation by 4/1/2012: CLICK HERE to e-mail Francesca (Zfrancesca@aol.com)

A service charge of $25 will be applicable for cancellations after 4/1/2012. No conference refunds after April 10,2012. Space is LIMITED. Register Soon! No conference or critique refunds are given if you have signed up for a critique. $25 return check fee.