2012 Mail In Registration Form

You can print all or parts of this form out and mail your registration in.

Send to:

Surrey International Writers’ Conference
PO Box 42023, RPO Guildford
Surrey, BC   V3R 1S5
Canada

  

We accept Visa, Mastercard, Cheque, or International Money Order.

Please make cheque (Canadian funds only) payable to Surrey International Writers' Conference.
Name ................................................................
Address ................................................................
  ................................................................
City ................................................................
PC/Zip ...............
Phone ................................
Fax ................................
Email ......................................................................
Conference cost for 2012 in Canadian dollars Early-Bird
Jul 1- Sep 15		 Regular
After Sep 15
[ ]
3-Day conference package

Our best value. Includes three days of workshops and morning keynotes; Friday lunch, dinner banquet and keynote; Saturday presenter lunch, dinner banquet and keynote; and Sunday lunch and keynotes.

 $559 $589
[ ]
Conference Basic

Includes all three days of workshops and morning keynotes, but does not include any meals or evening/afternoon keynotes.

 $399 $429
[ ]
Friday only

Includes lunch.

 $279 $299
[ ]
Saturday only

Includes lunch.

 $279 $299
[ ]
Sunday only

Includes lunch.

 $199 $219
[ ]
Young Writers—Friday only

19 years and under. Include a bag lunch.

 $50 $55
 
Master Class
price per Master Class
[ ]
[ ]		 Conference registrants
Non-registrants		 $ 99
$129		 $119
$139
  Subtotal:  
 
+ 12% HST:
  
 
Total enclosed (Canadian Dollars):
  

Master Class Choices

You do not have to list more than one choice but please note that seating is limited.
I am registering for: [ ] One Master Class    [ ] Two Master Classes   [ ] Three Master Classes
Morning class choices:
1.
2.
Afternoon class choices:
1.
2.
Evening Class choices:
1.
2.

Editor/Agent/Producer Interviews & Blue Pencil Appointments

Pre-registration for one-on-one interviews/appointments is open until October 1, 2012 only. After October 1, 2012, appointments can be made at the conference.

Appointments are based on availability at the time payment is received. For earlier appointment selection, please consider registering online or by phone.

List your choices for Editors & Agents & Producers

1.
2.
3.

List your choices for Blue Pencil Cafe

1.
2.
3.

Mail manuscripts to editors, agents and writers AFTER the conference (only if asked to do so), not before. Appointments occur DURING regularly scheduled workshops.

Payment by Credit Card

Method of payment: [ ] Mastercard [ ] Visa

Card No. ____________________________ Expiry Date ________________

Cardholder Name _________________________________
(exactly as name appears on the card)


Signature _________________________________

Payment by Cheque

Please make your cheque (Canadian funds only) payable to Surrey International Writers' Conference and mail with a copy of this registration page to the address at the top.

Please note that there is a $30 charge for NSF cheques.

Refund Policy

Until September 15 - refund minus a 35% administration fee. No refunds after September 15, 2012.