Montevallo Literary
Festival
April 18-19 2008
Print Registration Form
Please fill out the following Form and send 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 Saturday Dinner and Book Signing __________; 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 due with application.
Registration for festival currently enrolled UM students: $10 / Non-UM students: $45
Registration for festival plus 1 workshop currently enrolled UM students: $60 / Non-UM students: $95
Please indicate method of payment:
_____ Check (payable to University of Montevallo)
_____ Credit card
Credit Card no. ___________________________
Expires _____________
Credit Card Type: Amex Discover MasterCard Visa