Registration Form
Please fill in the form below.
Full Name
*
Prefix
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
How did you find out about Writerwerx Day?
*
Alignable.com
Billboard Ad
Craigslist.org
Facebook
Family / Friend
Google Search
Instagram
LinkedIn
Meetup.com
Networking Event
Online / Social Media Ad
Pinterest
Pleascentries.com
Postal Mailer
Posted Flyer
Print Ad (newspaper, magazine, etc.)
Tenesha L. Curtis
Twitter
VoloPressBooks.com
Volo Press Newsletter
Writerwerx.com
Writerwerx Event (We Pub, Shut Up Write Now, Self-publishing 101, etc.)
YouTube
Other
Business Name
Business Website
Facebook Page
Instagram Handle
Briefly Describe the Product(s) or Service(s) You Will Be Promoting / Selling at Writerwerx Day.
Services
*
prev
next
( X )
Booth (5' x 10'; includes B&W business card ad)
$
275.00
Table (5' x 2') Rental
$
50.00
Chair Rental (x2)
$
25.00
Feature Article in Program (2 pages; 1,000 words)
$
375.00
Program Ad: Back Cover (8.5" x 11")
$
250.00
Program Ad: Interior Front Cover (8.5" x 11")
$
225.00
Program Ad: Interior Back Cover (8.5" x 11")
$
225.00
Program Ad: Full Page (8.5" x 11")
$
175.00
Program Ad: Half Page (8.5" x 11")
$
90.00
Program Ad: Quarter Page (4.25" x 2.75")
$
50.00
Program Ad: Color Business Card
$
25.00
Program Ad: Black and White Business Card
$
20.00
Total
$
0.00
Upload your ad based on the ad size you chose.
Browse Files
Cancel
of
Please verify that you are human
*
Save
Submit
Should be Empty: