JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Conference Registration Form
Saturday October 21, 2023 10am - 2pm
Sponsored by Patricia Middleton - Founder of Poetrica Publishing and The Village Authors
www.poetricipublishing.com
- 856-553-POET (7638) - PO Box 8963 Collingswood NJ 08108
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
What do you hope to gain from attending this workshop?
*
Your answer
Are you a published author?
*
Yes
No
If you are not published, do you have a working manuscript (one that is in progress)?
Yes
No
Clear selection
If you have a working manuscript, will it be completed in the next...
0-3 months
3-6 months
More than 6 months
Not Sure
Clear selection
What is the genre(s) of your published book(s) / working manuscript(s)?
Fiction
Non-Fiction
Drama
Poetry
Other:
Clear selection
To complete this form, please hit the "Submit" button below. You will receive the agenda and Zoom credentials prior to the start of the workshop. Feel free to forward this form (
www.publishthedream.com
) to any writer who is interested in attending. Thank you for your interest!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms