REGISTRATION FORM:
AWA WRITING TO PROMPTS WORKSHOP
AT CAROL’S HOUSE
www.carolhenderson.com

10 Wednesdays:  Sept 17 - Dec 3, 2008
(No workshop October 22, November 26, )
7 – 10 PM, with dessert and coffee break.
Fee: $350

Questions? Email Carol at: cd.henderson@gmail.com

NAME_____________________________

ADDRESS_____________________________________

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HOME PHONE________________________

CELL PHONE_______________________

EMAIL____________________________________________

EMERGENCY CONTACT PERSON_____________________

CONTACT’S PHONE NUMBER:__________________________

Your check guarantees your spot in the workshop.

Make checks payable and send to:

CAROL HENDERSON
804 WOODLAND AVE
CHAPEL HILL, NC 27516

919-942-2127