Oregon Coast
Children’s Book Writers Workshop

Publish a Picture Book!

INTENSIVE ONLINE COURSE

Registration and Tuition

Please complete the following form and click on the "Register Now" button to register for the Publish a Picture Book! Intensive Online Course. You must also:

• Mail a signed Agreement Form.
• Mail a check made payable to Oregon Coast Children's Book Writers Workshop.

Mail to:

Publish a Picture Book!
c/o Oregon Coast Children's Book Writers Workshop
7327 SW Barnes Rd., PMB 623
Portland, OR 97225

If you have any questions, please e-mail David Greenberg or call 360-560-7766.

*Required Information

*Title:	Mr.   Mrs.   Ms.   Miss   Dr.
*First Name:	Middle Initial:
*Last Name:
*Street Address 1:
*Street Address 2:
*City:
*State:
*Zip:
*Country:
*Phone:
*E-Mail Address:
*Skype Name:
*Today's Date:
*Tuition:	$475.00 each: One Person $425.00 each: Two People who register at the same time $405.00 each: Three People who register at the same time $380.00 each: Four to Nine People who register at the same time $355.00 each: Ten People or More who register at the same time
	If you are registering with one or more people, please list their names below. Each person will need to register separately.