Poetry Summit 2020 Please provide the following information. Use the same name on all sections of the form.Today's Date* Date Format: MM slash DD slash YYYY Attendee Name (no pen names, please)* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*CELL #*If we need to contact you during the conference.Email* What is your writing genre?*How did you hear of the San Francisco Writers Conference?*2020 POETRY SUMMIT PAYMENTAccess to Poetry Summit seesions, Gala Welcome party, SFWC Cocktail party and Poetry and Jazz event. See website for more details. All payment information is secure and private.Payment Method is Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Help Support the San Francisco Writers Conference - Write in Amount Below As a 501c3 Nonprofit we welcome donations of any amount to fund our scholarship programs and free events. Your donation may be tax deductible, please consult your tax preparer.Registration - $195.00*RegistrationTotal $ 0.00 IF YOU ARE PAYING BY CHECK: Please use this PDF form Poetry Mail in Form Print out the completed form and mail it with your check. IF YOU ARE PAYING BY CREDIT CARD a copy of the completed form will be sent to your email after you press the submit button. BY CHECK: Make check payable to ‘San Francisco Writers Conference’ or SFWC. On the memo line, please write; 2020 Poetry. Please note: Unless you register online, you are not considered to be registered until we receive this completed form with payment by mail or fax. rates. NOTE: You will not be registered until we receive the completed form and payment! Conference Cancellation and RefundsRequests for refunds of Conference fees must be submitted in writing to the San Francisco Writers Conference. A $50 Cancellation Fee will be charged for refund requests received by January. 1, 2020. There will be no refunds after January 31, 2020. Refunds will be sent within six weeks after the request is received. The SFWC reserves the right to change or cancel any speaker and/or session without notice. There is a $50 handling fee for returned checks.
