SCBWI - CenCal Workshop Registration
"Passionate About Picture Books"

Print this form, fill it out and send it with your payment.
Print clearly:
Name:
Street:
City:
State: Zip:
Email:
Telephone: (________)

FEE: $40 SCBWI members, $50 non-members.
Make check payable to SCBWI-CenCal. No refunds.

Mail this registration form and registration fee to:
Jody Fickes Shapiro
183 Via Pasito
Ventura, CA 93003

Questions? Contact Jody Fickes Shapiro at: jody@jodyfickesshapiro.com 
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