Fall 2009 Duke Writers' Workshop Mail-In Registration Form
• Register early to reserve your place in the program.
• A $200 non-refundable deposit, payable by check, will secure your registration.
• Full payment of tuition is due September 1, 2009. Tuition is non-refundable after Sept. 1.
1. Participant Information
First Name   ____________________   Last Name _________________________
Address   ________________________________________________________
City   _________________________  State _____   Zip _______________
Daytime Phone   _________________________________ (nnn)nnn-nnnn
Evening Phone   _________________________________ (nnn)nnn-nnnn
Email Address   ________________________________________________________
2. Select One Instructor
  ___ Finishing Your Novel with Darnell Arnoult - ID# 12372
  ___ Creative Nonfiction and Personal Essay with Alton Ballance - ID# 12373
  ___ Structure and Scene with Abigail DeWitt - ID# 12374
  ___ Writing Memoir: Plagiarizing from Real Life with Judy Goldman - ID# 12375
  ___ Women's Writing Intensive with Zelda Lockhart - ID# 12376
3. Select a Living Option
  ___ Full Participant (single room, all meals, and full workshop - very limited availability) - $695
  ___ Full Participant (double room, all meals, and full workshop) - $595
  ___ Guest of Participant (all meals, no workshop, double room) - $295
     If double, roommate preference: _________________________________________
                           (roommate assigned if no preference given)
4. Other Details
  • I would prefer vegetarian meals:  ___ Yes       ___ No
  • My second choice workshop instructor is: ________________________________________
  • I have these other special needs: ______________________________________________
  • Don't forget to send your optional writing sample, if requested, directly to your
  instructor by the date specified in the course descriptions.
5. Payment of Fees
  Please pay minimum $200 deposit for Writers' Workshop. $200 deposit is nonrefundable.The remaining balance is due by September 1, 2009. All tuition is nonrefundable after Sept. 1.
  Total Amount Paid Now: $ ____________      
  Check Number: ____________ (payable to Duke University)
6. Mail check and form to:
  Registration - Writers' Workshop, Duke Continuing Studies, Box 90700, Durham NC 27708-0700