Hunt Country Writers' Retreat Registration Form
Saturday, April 21, 2012 9 a.m. to 5 p.m.
Reception on Friday, April 20, 2012 6 p.m. to 7:30 p.m.
Early registration ~ prior to March 1, 2012: $275
Regular registration ~ after March 1, 2012: $300
Registration deadline: March 15, 2012
Registration fee includes Friday evening reception, workshop, and lunch on Saturday.
Name:____________________________________________________________
Address:__________________________________________________________
_________________________________________________________________
Email:____________________________________________________________
Phone:____________________________________________________________
Please print registration form and mail with your check*/credit card information to:
Paper Chase Farms, Inc.
Post Office Box 448
Middleburg, VA 20118
Or fax registration form with credit card information to: 540-687-3364
*Make checks payable to Paper Chase Farms, Inc.
Credit Card Information:__________VISA__________MasterCard
Credit Card Number:__________________________________________________
Expiration Date:__________ CVC Code:__________
Cardholder's Name:___________________________________________________
Authorized Signature:_________________________________________________
Refund Information:
Please note that space is limited and we will be taking registration on a "first come" basis. If the retreat fills before the cut-off date, registration will be closed and your registration fee will be refunded. Otherwise, registration fees are non-refundable.
Questions: Call 540-687-3345 or email Jan Neuharth at info@huntcountrysuspense.com or Genie Ford at genie@printmanagementinc.com