1. Select one workshop from each workshop list.
2. Print this form and send it with your check to: Gold Rush Writers
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Antoinette May Herndon
Goldrush Writers Conference
8437 Center Street
Mokelumne Hill, CA 95245
For information call Antoinette:
(209) 286 1320
2012 Gold Rush Writers Retreat ORDER FORM
Name: ____________________________________________
Address: _________________________________________
Phone: ___________________________________________
Email: ___________________________________________
Saturday Morning 10:15 a.m. to noon -choose one: Saturday, 1:15 to 3:30 p.m.-choose one: Saturday, 3:45 to 5:15 p.m. -Choose one: Sunday, 10:30 a.m. -Choose one:

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