How to Enlist
Complete and sign this Enlistment Agreement. Then fax it to (310) 998-1140
Or send with payment to: 2525 Michigan Ave, Bldg I, Santa Monica, CA 90404
WEEKEND IMMERSION
Spring 2010
NYC: 5/21-22   LA: 6/18-19
Immersion Enlistment Agreement
My signature below acknowledges the following:
WEEKEND Immersion – NYC: 5/21-22; or, LA: 6/18-19, 2010 (circle one)
Regular Enlistment Fee: $1095
Early Enlistment Fee: $995 - must enlist by May 12, 2010 for NYC; by May 25 for LA
Basic Training Alumni Rate: $895 ; Professional Membership Alumni - Contact Office for Special Rates
Name _______________________________________ E-mail___________________________________________
Address: _______________________________________________________________________________________
City: State: Zip: _________________________________________________________________________________
Home Phone:_______________________________ Work/Cell Phone: ____________________________________
Today’s Date: _____________ Signature: ____________________________________________________________
*Credit Card #:__________________________________________________________________________________
Expiration Date:_______________ Total Amount:$_____________
Billing Address*: ________________________________________________________________________
(if different than above)
www.writersbootcamp.com 2010