Registration Form: Words Music 2015

Registration Form: Words Music 2015

<p> REGISTRATION FORM: WORDS & MUSIC 2015 </p><p>EVENTS/PACKAGES</p><p>TUITION PACKAGE (Writers), $475: NUMBER_ TOTAL $ OR, I AM A FINALIST, 50% DISCOUNT: NUMBER_ TOTAL $ </p><p>ALL-DISCUSSION PASS, $200: NUMBER_ TOTAL $ ($100 for 2015 Members of Faulkner Society; includes all but food & wine events, Limited Registration workshops,manuscript critiques )</p><p>ALL-EVENTS PASS: $800 NUMBER_ TOTAL $ DUO PACKAGE: $1,500 NUMBER_ TOTAL$ FOURSOME: $2,900 NUMBER_ TOTAL $ _</p><p>INDIVIDUAL DAY PASS NUMBER_ TOTAL$ ($150 per person, all events 8 a. m. to 5 p. m.)</p><p>A LA CARTE PRICING</p><p>INDIVIDUAL DISCUSSION TICKETS RANGE: $5 or $2.50 STUDENTS, WITH VALID CAMPUS ID: </p><p>(NOT INCLUDED: WORKSHOPS, MASTER CLASSES , Food Events ) NUMBER_ TOTAL $ </p><p>DATE: DATE: DATE: DATE: DATE: _ DATE: </p><p>WORKSHOPS, MASTER CLASSES $25 EACH ADULTS / $12.50 STUDENTS </p><p>(NOT INCLUDING REGULAR SESSIONS/EVENTS): NUMBER_ TOTAL $ </p><p>DATE: DATE: DATE: DATE: DATE: DATE: </p><p>LIMITED REGISTRATION, WORKSHOPS WITH SAMPLE CRITIQUES $50 Per Person </p><p>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: </p><p>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 $ </p><p>MEETING OF THE WORDS & MUSIC WRITERS ALLIANCE: REFRESHMENTS AFTER, EVENT NCLUDED IN WRITER, SPONSOR PACKAGES GENERAL PUBLIC, $15, STUDENTS $5 NUMBER_ TOTAL $ _</p><p>FRIDAY JAZZ AFTER HOURS FEATURING JAZZ, FOOD, FREE BAR NOTE: INCLUDED IN SPONSOR PACKAGES ONLY $75 Registered Writers/ $125 General Public NUMBER TOTAL $ </p><p>LITERATURE & LUNCH PACKAGE OF FOUR $215 NUMBER_ TOTAL $ </p><p>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 $ </p><p>FAULKNER FOR ALL & AWARDS CEREMONY & COSTUME BALL Finalists, free; other writers, $75 per person, Gen. Public, $125 NUMBER_ TOTAL $ </p><p>TOTAL AMOUNT DUE: $ CHECK ONE:</p><p>MY CHECK FOR THE TOTAL DUE IS ENCLOSED. PLEASE CHARGE TOTAL DUE TO CREDIT CARD. </p><p>CIRCLE ONE: VISA MASTERCARD AMERICAN EXPRESS</p><p>ACCOUNT NAME </p><p>ACCOUNT NUMBER EXPIRES (date) </p><p>Sec. CODE BILLING ZIP CODE & PHONE# </p><p>E-MAIL ADDRESS (Required to confirm) </p><p>SIGNATURE OF CARDHOLDER </p><p>CONTACT [email protected] WITH QUESTIONS.</p>

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