The 11th Annual Gulf Coast
Writers Conference
Registration Form
Name _____________________________________________________
Address __________________________________________________
Telephone________________ E-mail________________
Rates*
$50.00 for all regular sessions
$30.00 Master Class with John Dufresne (Saturday afternoon)
$25.00 for a manuscript critique (send 20 pages no later than 9-14-11)
$20.00 Keynote Speaker Luncheon with John Dufresne ($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.
Gulf Coast Writers Group
from the founders of The Annual Gulf Coast Writers Conference
Gulf Coast Writers Meet the 1st Monday of each month
at The Rabbit Hole (461 Harrison Ave.)
Inaugural Meeting Monday, June 7th 6:00 p.m.
Join Gulf Coast Writers Today!
Top Reasons to Join GCW
Excellent monthly meetings/programs; spring and fall conferences covering every aspect of writing—sharpen skills; Stay Inspired.
Workshops, critique groups, writing retreats
Discounts on the Gulf Coast Writers Conference, contest entry fees, members’ books, co-op advertising, etc
Meet and network with other writers, editors, publishers, agents, and media experts
Includes subscription to our newsletter
Sell books, arts, crafts at GCW events and GCW sponsored booths
Your membership and involvement helps GCW programs and classes for young people
Be a part of an artist community
Gain exposure for your writing
Have your work published in our annual anthology
----Printer Friendly PDF version----
Please print and fill out the following membership application form
and mail it, with the appropriate dues to:
Gulf Coast Writers
PO Box 35038
Panama City, FL 32412
NEW MEMBER ____________ RENEWAL ___________
Name:________________________________________ Date: ________________
Address: ____________________________________________________________
City: _______________________ State: __________ Zip Code: _______________
County of Residence:________________________________
Country of Residence: 
USA______ 
Other:_______________________________
Company Affiliation/Occupation: _______________________________________________________
Home Phone: ( ) ____________________ Fax ( ) _______________________
Work Phone:_________________________________________________
Email Address: ______________________________________
Web site URL: __________________________________________
Membership year: May - April
Joining after October? Pay $20.00.
$30.00 General Member
Signature: ______________________________________ Date: ________________
Make checks payable to Gulf Coast Writers and mail to:
Gulf Coast Writers, PO Box 35038
Panama City, FL 32412
In addition to my dues, I am including a donation to GCW of $ _________ for outreach programs for young people.
"Well run, entertaining, and absolutely enlightening -- a day worth traveling for. If you're local, it's a must." Jim Pascoe
Conference Registration
Click here to register for this year's conference!
For online registration click the button below.
_____________
Membership Options
_____________
Sign up for
Book Camp
"The Gulf Coast Writers Conference provides a wonderful opportunity to discuss writing and publishing in a supportive environment with people who really know the business."
Ben LeRoy, Bleak House Books
PottersvillePress@mchsi.com
P.O. Box 35038 Panama City, FL 32412 850-628-6028
Website designed by Adam Ake