SCBWI-LA Illustrator's Day 2010 REGISTRATION

Name:	_____________________________________________________ Phone: ___________________________________
Address:	_______________________________________________________________________________________________
E-mail:	_______________________________________________________________________________________________
Please fill in amount after appropriate items and fill in the total at the bottom:
	Members ($80), Student ($85), Non-member ($90)	$ ___________________
	Pay member rate if you join SCBWI today ($80 + 75 membership) www.scbwi.org.	$ ___________________
	Private Portfolio Review ($10)	$ ___________________
	If postmarked by October 1, subract $5 for Early Bird Discount.	$ ___________________
Total fees included:		$ ___________________
	Vegetarian box lunch, please.
PLEASE NOTE THAT WE DO NOT SEND CONFIRMATIONS.
Please make checks payable to SCBWI-Los Angeles and mail to: Illustrator's Day - SCBWI-Los Angeles Attn: Pat Martin SCBWI-Los Angeles P.O. Box 4190, West Hills, CA 91308		Please, no Registered or Certified Mail
Please Note: No refund after November 1, 2010. $10 charge for refund before November 1, 2010. If postrmarked by October 1, 2010, subtract $5 for Early Bird Discount. Join SCBWI at registration, and be eligible for the contest. You may register at the door. Sorry, no online registration. Unfortunately, we cannot accept credit cards.