CREATIVE WRITING WORKSHOP REGISTRATION
Name ________________________________________________________
Address ______________________________________________________
City ________________________State ______ Zip ___________________
Phone ____________________ Email address _______________________
Please use the space below to briefly describe your writing interests and experience
____________________________________________________________
____________________________________________________________
____________________________________________________________
To register print out form, complete, and mail to
George Dila
310 N. Ferry St.
Ludington, MI 49431
with a check payable to George Dila for $50