Writing and Publishing Program WRIT 903 Mini-Manuscript Consultation Registration Form All consultations are held at the SFU Vancouver Harbour Centre campus. 515 West Hastings Street, Vancouver, BC V6B 5K3 ___________________________________________ Name: First Initial Last Address City Province Postal Code ____________________________________ Day Telephone ____________________________________ Evening Telephone ____________________________________ Email Payment of $100 (per 50 minute assessment) enclosed by: Cheque (made payable to Simon Fraser University) VISA MasterCard ____________________________________ Cardholders Name (if different from registrants) ____________________________________ Acount Number ____________________________________ Expiry Date (month/year) ____________________________________ Signature (mandatory if paying by credit card) We respect your privacy. We do not share or make available our registration or mailing lists to other organizations. Cancellation policy: Cancel up to two weeks before the confirmed assessment date and you will receive a refund less a $25 administrative fee. Cancellations less than two weeks (14 days) before the confirmed assessment are non-refundable. Rescheduling requests must be accompanied by a $25 rescheduling fee. Rescheduling less than two weeks before the assessment will be considered a new booking, and will require payment of the full assessment fee. Registration form Page 1 of 2 Writing and Publishing Program ____________________________ Manuscript Assessment Registration Request Form Name: First Initial Last Each manuscript assessment meeting will be 50 minutes. A maximum of 15 double-spaced pages may be submitted. Please provide the manuscript to the Writing and Publishing Program office at least two weeks before the consultation. See below for monthly deadlines. Submissions may be made electronically by email or hard copy may be delivered. Please number and include your name, title and page number on each page. Evelyn Lau will read your manuscript (15 pages maximum) prior to the scheduled 50-minute assessment meeting. She will provide editorial guidance on the direction of the work, along with publication guidance, advice and other insight into the writing life. She can also suggest how to work with editors and publishers and answer other questions you may have about the field. Evelyn has written in several genres, including poetry, non-fiction and fiction. Indicate by number your three preferred dates and times for your assessment meeting: Preferred Time: 3:00-3:50 pm 4:00-4:50 pm 5:00-5:50 pm 6:00-6:50 pm 7:00-7:50 pm Preferred Meeting Date: August 31 September 28 October 26 November 30 January 25 March 29 April 29 May 31 Manuscript Submission Deadline: August 14 September 14 October 12 November 16 January 11 March 15 April 15 May 17 Every effort will be made to match one of your time and date choices, however, we cannot guarantee this due to limited availability. We will contact you with tentative meeting information within two weeks. Please return all pages of this completed form with full payment to: The Writing and Publishing Program Simon Fraser University at Harbour Centre 2300–515 West Hastings Street Vancouver BC V6B 5K3 Or fax to 778-782-5098 or email to wpp@sfu.ca. Please keep a copy of this form for your own reference. For Writing and Publishing Program use only: Booking done by: Date confirmation sent to registrant: