13th Annual
SCWC*LA Registration Form



Please note that the information you provide is considered personal. Under no circumstances will it be given to any individual or organization. There are three ways to register in advance for the SCWC:

1.   MAIL REGISTRATION: Complete and print this form. Send it along with your check, money order or credit card payment via regular post to the SCWC, 18160 Cottonwood Rd., #260, Sunriver, OR 97707.

2.   FAX REGISTRATION: Fax this completed form along with your credit card payment to (619) 906-7462.

3.   SECURE ONLINE REGISTRATION >>

STEP 1 - Complete the following information if you are registering by regular post, fax or phone.

 [ Personal Information ]

  All fields are required. 

First Name:  Last Name: 
Badge Name: 
Address:  City: 
State/Prov.:  Zip Code:  Country: 
EMail:  Phone: 

 [ SCWC*LA Registration Fees ]

  FULL CONFERENCE - Includes all Workshops & Events and Saturday Banquet.
  Lodging not included. Conference runs Friday thru Sunday afternoon. Check all that apply.
 

Full Conference $395  
Early "Bard" Discount (off Full Conference only; if registered by August 1, 2015) <$50>
Saturday/Sunday Only Conference $295  
Advance Submission Critique (available only to Full or Sat/Sun conferees) $  50
Additional Banquet Ticket for Guest $  50
  Group Affiliation (if applicable):      

  >> Please enter the total registration amount that you are paying here:


ADVANCE SUBMISSION READ & CRITIQUE - Available only to registered conferees. You may register for the SCWC and submit your material later, so long as it is received by no later than August 29, 2015. You may submit to more than one reader by paying $50 for each additional choice.

Select 1st Choice for Reader:
To Be Announced
Select 2nd Choice for Reader:
To Be Announced


STEP 2 - Please select how you are paying for your registration.

 [ Method of Payment ]

Check or Money Order (made payable to SCWC).  
Visa      MasterCard      American Express       Discover  
I authorize the SCWC to charge the above registration to my credit card.  

Name on Card: 
Card No.:    Exp.   CVC

 
   Authorized Signature and Today's Date


HOTEL LODGING - Wyndham Irvine Hotel is the physical site of the conference. Its address: 17941 Von Karman Avenue, Irvine, CA 92614. You must mention the SCWC in order to receive discounted lodging rate by the cutoff date. Phone: (949) 752-7423

ADVANCE SUBMISSION READ & CRITIQUE: Available only to registered conferees. Manuscripts will be returned only at the conference. Fee is non-refundable after posted submission deadline.

REFUND POLICY: Conference registration refunds, less a 15% processing charge, may be obtained before August 28, 2015. The SCWC reserves the right to cancel this conference without penalty, its liability limited to a refund of registration fees.

QUESTIONS: Phone the SCWC at (619) 303-8185 or email us.