SCBWI FLORIDA ILLUSTRATOR INTENSIVE AND MID-YEAR WORKSHOP
June 15 and 16, 2007 Disney's Coronado Springs Resort, Orlando

REGISTRATION FORM

Please make check payable to SCBWI-Florida
and mail with this form, Critique Submission Form, and MS for critique to:
SCBWI Florida / Pam Bachorz / 915 Pawstand Road / Celebration, FL 34747

Do NOT use a mail service that requires a delivery signature

Name: _____________________________________________________________________________________
(Exactly as it appears on your SCBWI membership card, if you are a member)


Address:___________________________________________________________________________________


Telephone Number: __________________________________ E-mail: _______________________________

Box Lunch: (included in cost of registration)

Illustrator Intensive (Friday) Choose one: Ham & Cheese___ Turkey ___ Vegetarian ___

Mid-Year Workshop (Saturday) Choose one: Ham & Cheese___ Turkey ___ Vegetarian ___

MID-YEAR WORKSHOP TRACKS for Saturday, June 16, 2007

Choose one track: Picture Book____ Middle Grade____ YA____ Poetry___

ILLUSTRATOR INTENSIVE FEES for Friday, June 15, 2007

_________Early registration, $125 SCBWI member _______After 5/15/07 $150 SCBWI member

_________Early registration, $150 non-SCBWI member _______After 5/15/07 $175 non-SCBWI member

_________Also attending Saturday workshop; deduct $25 from your total registration fee

MID-YEAR WORKSHOP FEES for Saturday, June 16, 2007

_________Early registration, $150 SCBWI member _______After 5/15/07 $175 SCBWI member

_________Early registration, $175 non-SCBWI member _______After 5/15/07 $200 non-SCBWI member

CRITIQUE FEES

This registration form, your check, the Critique Submission and manuscript must be postmarked by May 5, 2007

_____ Number of manuscripts submitted ($35 each) ______Art/Portfolio ($35) (bring art/portfolio to the workshop)

GRAND TOTAL

FRIDAY ILLUSTRATOR INTENSIVE REGISTRATION $______________

SATURDAY MID-YEAR WORKSHOP REGISTRATION $______________

Deduct $25 if attending both days -______________

CRITIQUE FEES $______________

GRAND TOTAL $______________ Sorry, no refunds.

Please make check payable to SCBWI-Florida
and mail with this form, Critique Submission Form, and MS for critique to:
SCBWI Florida / Pam Bachorz / 915 Pawstand Road / Celebration, FL 34747

Do NOT use a mail service that requires a delivery signature

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