2007 Online Registration Form

If you prefer to mail registration form, print the form below, fill it out as instructed, and send, along with your check or credit card info., to:

Division of Continuing Education
Station 6280
University of Montevallo
Montevallo, AL 35115

PLEASE PRINT                                                  

AMOUNT ENCLOSED $__________________

Name___________________________

Mailing Address______________________________________________________________________

____________________________________________________________________________

Home telephone  (      )____________________         

Work telephone  (      )_______________________

Email address  _______________________________

 If you wish to participate in a workshop, indicate your preference: prose ______    poetry ______

drama ______

I plan on attending the Friday Friends’ Dinner ____________; the Low Country Boil Dinner __________; both _________ (included in $45 registration fee).

Workshop manuscript submission deadline:  April 1.  More details on processing of manuscripts will follow upon completion of registration and receipt of payment.

Payment of $95 (festival plus one workshop) or $45 (festival only) due with application.   Please indicate method of payment:

                _____ Check (payable to University of Montevallo)

                _____ Credit card

                                Credit Card no.  ___________________________  Expires _____________

                                Credit Card Type:    Amex    Discover   MasterCard    Visa