2010 Knoxville Writers' Guild Workshop Registration

Name _______________________________________________________________________

Street _______________________________________________________________________

City ________________________________________________________________________

State ______ Zip ____________________________

Telephone _______________________   E-mail _________________________________

Knoxville Writers' Guild member? ___yes ___ no

If you wish to join the Writers' Guild, add $30 to your total ($15 if you are a full-time student) and pay member rates for workshops.

Pellissippi employee or student? ___ yes ___ no   If so, pay member rates.

How did you learn about the workshops?____________________________________________________________________

Please list the workshops you want to attend:

      Presenter                                     Title                                             Cost

_____________ _________________________________________________ _________

_____________ _________________________________________________ _________

_____________ _________________________________________________ _________

_____________ _________________________________________________ _________

                                                               KWG Dues (if you wish to join) _________

                                                                                                     Total _________

Submit this form with your check to: