NAME:
                                                             
ADDRESS:
                                                             
                                                             
PHONE NUMBER:                                                              
E-MAIL:                                                              
Conference Fee
    Early Registration (postmarked by March 29, 2010) $50.00
    Reg. Registration (postmarked by April 17, 2010) $60.00
    Walk-in Registration (after April 17) $75.00
To assist us in making the day as smooth as possible, please pre-register by filling in the following form:
Choose one:
I want to receive a hot lunch: Yes
I am interested in the salad bar only: Yes
I intend to skip lunch or bring my own meal: Yes
The classes I plan to attend :
Workshop 1:________________________________________
Workshop 2:____________________
Workshop 3:________________________
Worskshop 4:_______________________
Workshop 5:________________________
____I am submitting contest entry(s) to Audrey Stallsmith at 87 Pines Road East, Hadley, PA 16130, postmarked no later than April 3, 2010. I’ve enclosed a title sheet, but did not put my name on contest entries. [Free, part of conference fee]
____I am submitting 6 or less pages of a manuscript to Evelyn Minshull for free critique, at 125 Channel Drive, Carlisle, PA 17013, postmarked no later than April 17, 2010, or brought to the conference. All “walk-in manuscripts” should arrive with a SASE for return after the conference.
____I have enclosed $______ for an additional ______ pages of manuscript to be critiqued, submitted to Gloria Clover at 26 Everbreeze Drive, Hadley, PA 16130, postmarked no later than April 17, 2010, or brought to the conference. All “walk-in manuscripts” should arrive with a SASE for return after the conference.
____I intend to bring books to sell on commission. [Free, part of conference fee]
____I intend to bring published works to share on the Testimony Table.
    
AMOUNT ENCLOSED: $______________
    
Make checks payable to Gloria Clover
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