Registration Form: Words Music 2015

REGISTRATION FORM: WORDS & MUSIC 2015

EVENTS/PACKAGES

TUITION PACKAGE (Writers), $475: NUMBER_ TOTAL $ OR, I AM A FINALIST, 50% DISCOUNT: NUMBER_ TOTAL $

ALL-DISCUSSION PASS, $200: NUMBER_ TOTAL $ ($100 for 2015 Members of Faulkner Society; includes all but food & wine events, Limited Registration workshops,manuscript critiques )

ALL-EVENTS PASS: $800 NUMBER_ TOTAL $ DUO PACKAGE: $1,500 NUMBER_ TOTAL$ FOURSOME: $2,900 NUMBER_ TOTAL $ _

INDIVIDUAL DAY PASS NUMBER_ TOTAL$ ($150 per person, all events 8 a. m. to 5 p. m.)

A LA CARTE PRICING

INDIVIDUAL DISCUSSION TICKETS RANGE: $5 or $2.50 STUDENTS, WITH VALID CAMPUS ID:

(NOT INCLUDED: WORKSHOPS, MASTER CLASSES , Food Events ) NUMBER_ TOTAL $

DATE: DATE: DATE: DATE: DATE: _ DATE:

WORKSHOPS, MASTER CLASSES $25 EACH ADULTS / $12.50 STUDENTS

(NOT INCLUDING REGULAR SESSIONS/EVENTS): NUMBER_ TOTAL $

DATE: DATE: DATE: DATE: DATE: DATE:

LIMITED REGISTRATION, WORKSHOPS WITH SAMPLE CRITIQUES $50 Per Person

NOTE: THESE ARE NOT INCLUDED IN ANY PACKAGES AND ARE NOT OFFERED ON A COMPLIMENTARY BASIS TO ANYONE. Each is limited to a max of 15 persons. Writing samples required. NUMBER_ TOTAL $ DATE: DATE: DATE:

MANUSCRIPT CRITIQUES FOR NON-REGISTERED WRITERS $100 PER CRITIQUE, AGENT OR EDITOR: NUMBER_ TOTAL $ EXTRA CRITIQUES FOR REGISTERED WRITERS $75 Per Critique and Consultation DEPENDING ON AVAILABILITY OF AGENTS, EDITORS NUMBER_ TOTAL $

MEETING OF THE WORDS & MUSIC WRITERS ALLIANCE: REFRESHMENTS AFTER, EVENT NCLUDED IN WRITER, SPONSOR PACKAGES GENERAL PUBLIC, $15, STUDENTS $5 NUMBER_ TOTAL $ _

FRIDAY JAZZ AFTER HOURS FEATURING JAZZ, FOOD, FREE BAR NOTE: INCLUDED IN SPONSOR PACKAGES ONLY $75 Registered Writers/ $125 General Public NUMBER TOTAL $

LITERATURE & LUNCH PACKAGE OF FOUR $215 NUMBER_ TOTAL $

OR: $60 EACH, INDIVIDUAL DAYS LITERATURE & LUNCH, THURSDAY NUMBER TOTAL $ LITERATURE & LUNCH, FRIDAY NUMBER TOTAL $ LITERATURE & LUNCH, SATURDAY NUMBER TOTAL $ LITERATURE & LUNCH, SUNDAY NUMBER TOTAL $

FAULKNER FOR ALL & AWARDS CEREMONY & COSTUME BALL Finalists, free; other writers, $75 per person, Gen. Public, $125 NUMBER_ TOTAL $

TOTAL AMOUNT DUE: $ CHECK ONE:

MY CHECK FOR THE TOTAL DUE IS ENCLOSED. PLEASE CHARGE TOTAL DUE TO CREDIT CARD.

CIRCLE ONE: VISA MASTERCARD AMERICAN EXPRESS

ACCOUNT NAME

ACCOUNT NUMBER EXPIRES (date)

Sec. CODE BILLING ZIP CODE & PHONE#

E-MAIL ADDRESS (Required to confirm)

SIGNATURE OF CARDHOLDER

CONTACT [email protected] WITH QUESTIONS.