Registration — Writing for Change

Writing for Change 2013 Registration Form

October 12th, 2013
9:00 a.m. until 5:00 p.m.
Unitarian Universalist Center
at Geary and Franklin in San Francisco

For map & venue info:
http://www.uusf.org/

Today's Date*
Attendee Name (no pen names, please)*
FirstLast
Email*
Address*
Street AddressCityState / Province / RegionZip / Postal Code
Phone*
FAX
What is your writing genre?*
How did you hear of the San Francisco Writing for Change Conference?*

Writing for Change Conference
Payment

This event is for registered attendees only. Limited to 100 so register early!

INCLUDES: All San Francisco Writing for Change events, sessions, panels and keynotes.

Box lunch (TBD) is optional.

Payment Method
- Credit Card
- Check
Payment Method is Credit Card
American Express
Discover
MasterCard
Visa
Card NumberExpiration Date Security CodeCardholder Name
Registration until June 30th.*
- Registration $99.00
Registration after September 30th
- Registration $125.00
Registration after October 1st
- Registration $149.00
Add Optional Lunch
- Lunch $20.00
Quantity*
Please enter a value greater than or equal to 1.
Total
$0.00

Please use a separate form for each attendee.

IF YOU ARE PAYING BY CHECK: Fill in this online form.

A copy of the completed form will be sent to your email after you press the submit button.
Print out the completed form and mail it with your check.

NOTE: You will not be registered until we receive the completed form and payment!
Both must be received (or postmarked) by the deadlines shown above in order to receive the discounted early prices.

BY CHECK—Make check payable to ‘San Francisco Writers Conference’ or SFWC.
On the memo line, please write ‘2013 SFWC’.Please note: Unless you register online, you are not considered to be registered until we receive this completed form with payment by mail or fax—and we must receive them by the deadlines above to qualify for early discount rates.

Conference Cancellation and Refunds
There will be a $50 handling fee for returned checks. Cancellations and requests for refunds of conference fee must be submitted in writing by mail to Writing For Change. A $50 cancellation fee will apply.
No refunds will be issued after September 15, 2013. Refunds will be credited to your credit card account (or mailed if fee was paid by check) within six weeks after they are requested. SFWC reserves the right to change or cancel any speaker and/or session without notice.