Registration Form - Print this form, fill it out and send it with your payment. Must be postmarked by December 21, 2009.
 Click to print this page
Print clearly:
Name:
Street:
City:
State: Zip:
Email:
Website:
Telephone: (________)

_____ I am a published author and/or illustrator. My most recent published book is:
(Title & publisher)

_____ I hold a contract for my first book as an author and/or illustrator.
Title, publisher & proposed publication date:
FEES - SCBWI members only
_____$395 Double _____$425 Single _____ $295 Commuter
____ $40 for Web Media Presence critique

DEADLINES
Registration form and payment must be postmarked by December 21, 2009.
Make check payable to:  V/SB SCBWI

Mail this registration form with your check attached to:
V/SB SCBWI Retreat '10
1001 Hillview Lane, Simi Valley, CA 93065

QUESTIONS? Contact Alexis at: CLICK HERE to e-mail Alexis