Complete this form online and  (or print first and fill out by hand)

Jack London Writers Conference Mail-in Registration Form
 October 10-11, 2009, Crowne Plaza Hotel, Foster City, CA

 

Mail your completed form with your check payable to California Writers Club:         Jack London Writers Conference, 790 Main St., Suite 2D, Half Moon Bay, CA 94019  

Name:   

 

Street  Address:  

 

City:  

State:    Zip Code:  

Email:   

   

Phone:  

day:    evening:  

   Please let us know the top 5 workshops you are interested in: 

   Yes! I would like to prebook my Agent Appointment (must register by Aug 10, 2009). The top 3 agents/speakers I    would like to meet with are, in preference of priority:  

I plan to attend the Friday Night Social   I plan to attend the Friday Night Film Viewing   

I plan to attend the Saturdayday Night Social   I plan to attend the Saturday Night Film Viewing 

My Sunday banquet lunch meal preference is:  Salmon  Chicken   Vegetarian 

How did you hear about
the workshop?  

Website    Newspaper   Flyer     
Friend   Other:   

 

Fees:   

 

   

Conference Registration    

$375 

   

   

CWC Members and Students     

$325 

 

   

Agent or Speaker Appointment 

$35  

   

 

 

   

TOTAL enclosed  (check payable to CWC):  

 

 

 


 


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