REGISTRATION & PAYMENT WRITING WORKSHOPS - CEDAR KEY - FRIDAY, SATURDAY, SUNDAY - January 7, 8, 9  2005 Registration form may be submitted via email to Patersonbb@aol.com or via snail mail with check to:  Terri DuLong                                               6960 Oldgate Circle                                               New Port Richey, FL  34655 Please make checks payable to Terri DuLong $70 for 3 days or $25 per day If using Pay Pay for credit card or checks, please click link below DEADLINE FOR REGISTRATING:  DECEMBER 20, 2004 CANCELATION POLICY:  Full refund if canceled before DECEMBER 27 2004 You will receive a confirmation on your registration via email or snail mail Workshops are limited to 25 people

REGISTRATION FORM NAME: ____________________________________________________ ADDRESS: ________________________________________________ CITY, STATE: ______________________________________________ TELEPHONE: _______________________________________________ EMAIL: ____________________________________________________ PLEASE LIST DAYS YOU ARE ATTENDING ______________________________ ______________________________ ______________________________ AMOUNT PAID____________________

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