Wesleyan Writers Conference 2016 Registration Form

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Wesleyan Writers Conference
2016
Registration Form
If you have questions, please contact Anne Greene, Director - agreene@wesleyan.edu 860.685.3604
Mailing address: Wesleyan Writers Conference, Wesleyan University, 294 High Street, Room 207, Middletown, CT 06459
Dr. /Mr. /Mrs. /Ms. ________________________________________________________________________ _______________________________________________________________
Title (circle one)
First Name
Last name
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City
State
Country
Zip/ Postal Code
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Email
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Phone
Writers conference Fees - June 15-19, 2016
One-Day Festival FEES - June 18, 2016
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$100 Deposit - due at registration for either the conference or festival. It holds your place. Remember to deduct from any balance due!
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$850 Tuition (includes optional manuscript consultation)
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$225 One-Day Festival (includes lunch & dinner)
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$275 Meals on campus (optional)
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$50 Lodging on campus Friday night
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$170 Lodging on campus (optional)
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$50 Lodging on campus Saturday night
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$100 Manuscript consultation
To pay by check - make check payable to: Wesleyan Writers Conference and mail to address above
To pay by credit or debit card, please see payment options at www.wesleyan.edu/writing/conference/registration.html
Please note: if your attendance at the conference is contingent on your receiving financial assistance, you do not need to send
the $100 deposit with your scholarship or fellowship materials. If you choose to submit the $100 deposit it will:
1. hold your place at the conference 2. guarantee you a manuscript consultation 3. be applied to any balance not covered by your award.
Scholarship / Fellowship applications & Genre: ____ Fiction ____ Poetry ____ Nonfiction ____ Davidoff Journalism
Scholarship/Fellowship applications to be emailed to agreene@wesleyan.edu. Due date March 18, 2016.
I am applying for: ____ a scholarship
____ a fellowship
____ both a scholarship and a fellowship
Manuscript Consultation – Genre: ____ Novel ____ Short story ____ Poetry ____ Nonfiction ____ Journalism
Manuscript is to be mailed – address above. Due date May 27, 2016
Please note: you may apply for a Scholarship and/or Fellowship in one genre and submit a manuscript for consultation in a different genre.
How did you hear about the Wesleyan Writers Conference? ____ Brochure ____ Newspaper ____ Magazine ____ Website search
____ Facebook ____ Twitter
Name of the publication or the web address: _____________________________________________________________
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