Register for Writers' Workshops - Crossing Borders

Crossing Borders, The Immigrant Voice in American Literature

2004 Writers' Workshops Registration Form

January 11-15, 2004 - $450.00

Registration is strictly limited to a first-come, first-served basis.
A $100.00 per person deposit will hold your reservation, fully refundable until June 30, 2003.
You can register by filling out this form and submitting it over regular Internet lines.
You may call 1-888-293-9291 and register over the phone.
You may print this form out and mail it to the address below.
Make checks payable to Key West Literary Seminar, Inc.

Workshops
Choose a workshop, then if you like, include a second choice in case your first choice is sold out.

~~The Writer, the Editor, the Agent, and the Teacher~~ Sold Out
with Tim Seldes and Susan Shreve

~~Passion and Craft~~ Canceled
(This workshop has limitations. Please read guidelines.)
with Judith Kazantzis

~~Outsider Fiction~~ Sold Out
with Bich Minh Nguyen

~~Narrative Journeys: Writing the Road~~ Sold Out
with Porter Shreve

New Poems Workshop
with E.J. Miller Laino

My 2nd workshop choice is:

First Person
Name

Affiliation (as it is to appear on your name badge)

Address

City

State or Province Zip/Postal Code Country

Phone (starting with area code)

E-mail

Second Person
Name

Fill in rest, only if different than for person above.
Check here if rest of information is the same as above.
Affiliation (as it is to appear on your name badge)

Address

City

State or Province Zip/Postal Code Country

Phone (starting with area code)

E-mail

Payment
Credit Card Type
Credit Card Number                            Exp. Date

Name on Card                           Total Amount
   $
You may enter any amount but a minimum deposit of $100.00 per person is required.

Comments

If paying by check, make payable to Key West Literary Seminar, Inc. (U.S. funds only.)
December to April, mail to:
Winter Administrative Office, 717 Love Lane, Key West, FL 33040
May to November, mail to:
Summer Administrative Office, 4 Portside Lane, Searsport, Maine 04974
Phone: 1-888-293-9291 or mail@keywestliteraryseminar.org

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