Registration for the Maryland Writing Project's Weekend Young Writers Series
Print, fill out, and send with payment.

Name

Address_____________________________________________________________________

City, State Zip________________________________________________________________
Home Phone Number:
E-mail:

School Name:
School Address:
 
Payment must accompany application. ($120 for 6-weekend session. )
____ I'm am enclosing a check for $120 payable to Towson University.
 

____I'm charging the $120 tuition and by filling out the information below.

____Discover___Mastercard____Visa

Card Number:______________________Exp. Date:________

Name on credit card (please print) ____________________________ Social Security #___________

Signature: ______________________________________

If paying by credit card, completed application can be faxed to the Maryland Writing Project at 410-704-2733.

If mailing application with check or credit card information, send to:
Maryland Writing Project
Towson University/Hawkins Hall 301
8000 York Rd
Towson MD 21252
Questions? Call the Maryland Writing Project office at 410-704-3593.
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