The 11th Annual Gulf Coast Writers Conference
Registration Form

Name ____________________________________________________________
Address __________________________________________________________
Telephone__________________E-mail _________________________________

Rates*
$40.00 if postmarked by July 1st
$60.00 if postmarked by August 1st
$75.00 if postmarked by September 1st
$85.00 if postmarked after September 10th
$25.00 for a manuscript critique (send 20 pages no later than 8-25-10)
$25.00 for editor/agent appointment
$50.00 for Novel Contest
$20.00 MWA Keynote Speaker Luncheon with Connie May Folwer ($25.00 if lunch only)
$25.00 (student price)

*Gulf Coast Writers Members take 15% off

Enclosed is my check in the amount of $__________ to reserve a place at the conference and $_________ for a manuscript critique, $_________ agent appointment,$________ novel contest, and $_______ for the Keynote luncheon for a total of $_________ (make checks payable to Gulf Coast Writers).

____I am a published author and would like a panel assignment.
____ I would like to participate in Gulf Coast Idol (bring your work to read if chosen)

Return this form along with your check made payable to Gulf Coast Writers, P.O. Box 35038, Panama City, FL 32412. For more information call Michael Lister @ 850-628-6028 or e-mail MichaelLister@mchsi.com. Gulf Coast Community College is located at 5230 W. Hwy. 98 in Panama City, FL.

Refund Policy
All refund requests must be submitted in writing to the conference director and postmarked no later than August 15, 2010, after which no refunds can be given.

Cancellation Policy
Gulf Coast Writers reserves the right to cancel, postpone, alter, or limit enrollment in any program due to insufficient enrollment or to other circumstances beyond the coordinator’s control. Gulf Coast Writers will only be liable for program registration fees.