| JANUARY JUMPSTART XIX Connie Green, Poetry Leader Susan Gregg Gilmore, Fiction Leader January 11-13, 2019 |
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| Registration Deadline is December 31, 2018 | ||
| REGISTRATION FORM |
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| Name: | ____________________________________________________ | |
| Mailing Address: | ____________________________________________________ | |
| City/State/Zip: | ____________________________________________________ | |
| Phone: | ____________________________________________________ | |
| Email: | ____________________________________________________ | |
| Please mark the workshop you wish to attend: Poetry: ______ Fiction: ______ |
Workshop |
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| Amount Enclosed |
$ _________________ |
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| Mail to: | TMW/January Jumpstart 2019 P. O. Box 5435 Oak Ridge, TN 37831-5435 |
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| For additional information contact Sue Richardson Orr at theorrs@usit.net | ||