| V/SB
SCBWI Registration for 2011 Retreat - Print this form, fill it out and send it with your payment. Must be postmarked by November 19, 2010. (Registration payment may be sent in advance of November to secure a place.) |
| Print clearly: |
| Name: | |
| Street: | |
| City: | |
| State: | Zip: | ||
| Email: | |
| Telephone: | (________) |
| Manuscript Title: |
| Manuscript Genre; Check One: | |
| _____ Picture Book | _____ Chapter Book / Easy Reader |
| _____ Middle Grade | _____ Young Adult |
| Sub-Genre; Check One: | |
| _____ Fiction | _____ Historical Fiction |
| _____ Nonfiction | _____ Poetry |
| _____ Fantasy/SciFi | _____ Graphic Novel |
| DEADLINE - Postmark by November 19, 2010. Make check payable to V/SB SCBWI | ||
| Amount enclosed: | ||
| ___$395 | ___$435 | ___$295 (Commuter) |
Mail this registration form, manuscript and fee to: Questions? Contact Alexis at: AlexisinCA@aol.com |
| Visit www.scbwisocal.org to get the latest information on events in the Ventura/Santa Barbara region. |