Cancellation Policy: Cancellations are subject to a $35 cancellation fee. Cancellations received SEVEN DAYS before the program date are refundable.

REGISTRATION FORM FOR Larry Brooks: Story Coaching Your Work in Progress

Please print out and mail form with full fee to: OWC Workshops--Story Coaching, PO Box 15200, Portland OR 97293

Name:_____________________________________________ Phone: ________________________

Address: __________________________________________ City/ST/Zip: _____________________

E-mail: ___________________________________________________________________________

You must be a member in good standing and you must be a prior student of Larry's to take this workshop

$200 for members $235 if your membership has lapsed

Method of Payment: CHECK   /  CREDIT CARD  Registrants must pay in full    

    If credit card, complete the following: (indicate type):  VISA_____ MASTERCARD_____        $_________
                                                                                (No other credit cards accepted)

Credit Card # _________________________________________ Expiration Date:_______________

Name on Card (please print) _________________________________________________________

Billing Address for this card: ___________________________________ Zip: ________________

Signature of Card Holder _________________________________________________________

Please pay in full by credit card or check.  Make checks payable to Oregon Writers Colony

Cancellation Policy: Cancellations are subject to a $35 cancellation fee. Cancellations received SEVEN DAYS before the program date are refundable.