Sunday, July 22, 2012

Birdland Writing Retreat Registration

Birdland Summer Writing Retreat                               
Date: August 4, 2012
Registration Form                                           
Name ______________________________    
Address ____________________________    
City, State, Zip ______________________      
Phone ______________________________    
Lunch included--Please select your Choice
__Ham and Cheese Wrap
__Turkey and Cheese Wrap
__Veggie and Cheese Wrap
(These options are also available without cheese.)
Please list any food restrictions (vegetarian, vegan, allergies, etc.) ___________________________________________
Please return registration form                       
and personal                                                
check payable to Birdland Book Arts 

  • Early Bird price: $45
  • $55 after July 14th (Postmark date)
  • to:                                                        
Birdland Workshop —Mary Lucille Hays       
1185 E 1900 North Road                          
White Heath, Illinois 61884                   
Limited scholarships available. Email for details.

(Note: You may also cut and paste this form and send it in an email to and use the PayPal donation button for the fee. Add $1 to cover PayPal charges.)

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