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Write! Canada 2010 Registration Form

First Name Last Name
Address City
Province/State Postal/Zip Code
Daytime Phone Evening Phone
Email

URL address of your website or blog, if any, so we can link your name to your site on the new registrants page on the Write! Canada site:

May we include your name, province, and site link on our list of registrants? Yes   No

Sex: male   female     Age:

Number of Write! Canada/God Uses Ink conferences previously attended:

Check this box if you are faculty this year

How did you learn about this conference? (Please be specific. Check all that apply.)

received email announcement from The Word Guild
received flyer in mail
advertisement name of publication
article name of publication
TV/radio station & program
poster where was it?
web site name of site
friend name of friend
other please specify

Your level of writing experience:

1. Beginner
2. Published a little
3. Intermediate
4. Advanced
5. I am a published author
6. I meet the criteria for a professional member of The Word Guild

What are your writing interests?

poetry
journalism
articles
nonfiction books
 devotionals
novels
short stories
songs
 personal experience
scripts & screenwriting
other:

Anything we should know about you (e.g. mobility or health issues)? Tell us here if you want the vegetarian option because it must be orderd in advance.

Which sessions do you plan to attend? (Please choose carefully)

1. Six-hour continuing class:   1   2   3   4   5   6   7*

*If you choose #7, an extra fee of $25 is required for this class.
#7 is the small group intensive, Writing the Stories of Life, facilitated by Audrey Dorsch

2. Workshops: Choose one workshop in each slot.

The Canadian Christian Writing Awards Gala
All Write! Canada registrants are encouraged to attend the Awards Gala on Wednesday, June 16th, 7:30 PM at World Vision Canada headquarters in Mississauga.

You can order tickets for yourself and family or friends at the following rates:

$10 each for TWG members
$15 each for non-members

Note: Gala team members and volunteers will not need tickets.

Number of tickets required:

Fees

Fees are in Canadian dollars. If you are paying online using a non-Canadian credit card, the amount will be converted to your currency on your bill.

Registration Fee (including meals)
Continuing Class #7
Awards Gala tickets
Discounts: (Check boxes that apply)
Deduct $20 if you are a current, paid-up member of The Word Guild
Deduct $20 if you are a full-time student
Deduct $20 for early-bird registration if submitted by April 30th
Do you require on-site accommodation? Yes   No  
Name(s) of preferred roommate(s), if any, or indicate if you get up early or go to sleep late:
Cost per person for two nights' accommodation (Thursday & Friday):
First choice:
Second choice:
Subtotal:
GST:
Write! Canada Bursary Program: Can you add a donation to your order to help another writer attend Write! Canada? You will receive a charitable receipt in 2011 for donations of $10 or more. Enter the amount here.

If you prefer you can give online at Canada Helps. Canada Helps will issue a PDF tax receipt by e-mail.

TOTAL:
Choose your payment method: Online (credit card via PayPal)   Cheque 
(click once)

Payment instructions will be given on the next page.  

Note: If you have a gift certificate or if you are eligible for a special discount (faculty/staff/volunteer), please fill in this registration form and print it off. Do NOT pay online. Deduct the gift certificate or special discount amount from the total payable and send the printed registration form, the gift certificate or special discount form and a cheque for the remaining amount (payable to The Word Guild) to Write! Canada Registration, c/o 54 Wolfe Ave, Tottenham, ON, L0G 1W0, Canada. After printing, please click the Submit button so that we can more easily process your registration. If no payment is required, you do not need to send anything; just click Submit. Thanks!

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