Key West Literary Seminar | 2011 Registration/Payment Form


KWLS | REGISTRATION / PAYMENT


Use this secure form to register for the 2011 Key West Literary Seminar and/or Writers' Workshop Program. You can also use this form to make a final or continuing payment, and to make a tax-deductible donation.

Please make sure to fill out the form completely, and double-check to make sure that your email address and phone number are entered correctly.

You should receive a confirmation onscreen immediately after you submit the form, and a personal response from us within three days. If you do not receive a personal response, or if you have any trouble with the form, please call us at 1-888-293-9291, or send an email to mail@kwls.org.

Registrations are honored on a first-come, first-served basis as long as space is available.


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SEMINAR REGISTRATION OPTIONS - $100 minimum deposit required

Register for KWLS 2011 Session One ($495) (January 6-9, 2011)
Register for KWLS 2011 Session Two ($495) (January 13-16, 2011)
Register for KWLS 2011 Sessions One AND Two ($950) (January 6-16, 2011)
None


WRITERS' WORKSHOP REGISTRATION OPTIONS - $100 minimum deposit required

Register for 2011 Writers' Workshop with Alan Cheuse ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Billy Collins ($400) (January 9 - 12)
Register for 2011 Writers' Workshop with Jane Hirshfield ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Mary Morris ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Connie Regan-Blake ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Porter Shreve ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Susan Shreve ($450) (January 9 - 13)
Register for 2011 Writers' Workshop with Hilma Wolitzer ($450) (January 9 - 13)
None

2nd Choice:        3rd Choice:

Please indicate second and third choice only if you would be happy with this workshop in the event that your first choice is unavailable. If you are not admitted to a workshop, your deposit will be refunded in full.

Note: When registering for both the Seminar and a $450 workshop, you will receive a $50 discount (total: $895). No discount is available for Billy Collins's $400 workshop (total: $895).

OTHER PAYMENT AND DONATION OPTIONS

Make final/continuing payment for Seminar and/or Writers' Workshop (any amount)
Make a tax-deductible donation (any amount)
None


PERSONAL INFORMATION - first person
Are you a first-time attendee? Yes   No
Are you requesting financial assistance? Yes   No
Are you attending alone? Yes   No

Name

Address

City

State or Province     Zip/Postal Code    Country

Phone number (starting with area code)

Email address


second person - if applicable
Are you a first-time attendee? Yes   No
Are you requesting financial assistance? Yes   No
Name

Fill in below only if different than for person above.
Address

City

State or ProvinceZip/Postal Code    Country

Phone number (starting with area code)

Email address


PAYMENT INFORMATION
Credit Card Type

Credit Card Number                Exp. Date (00/00)
    
Name on Card                           Total Amount
   $
You may enter any amount but a minimum deposit of $100.00 per person, per event is required to register for the Seminar and/or Writers' Workshops.

Yes, I want to receive email about the Key West Literary Seminar and Writers' Workshop Program.


Comments / Notes / Questions