Into the Springs Writers' Workshop

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Name*

First Last

Name for Badge (if different)

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

May we include your name and email on our participants' list, which will be distributed to all participants?*

Yes

How did you learn about Into the Springs Writers' Workshop?*

In what genre do you write?*

(ex. Science Fiction)

How would you best describe your writing experience?*

(ex. new writer, published, etc)

Please list a few of your favorite authors.*

Room Type*

Double queen rooms are priced per person, based on two attendees staying in the room.

Roommate Name

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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