26th Annual Writers’ Institute Registration Checklist
The first price listed for items is the early-bird fee, which ends on Friday, February 27th, unless otherwise noted.
Please choose one of the following:
 March 27- 29 combo
 March 27 only
 March 28 & 29 only
 Bring a Friend (month of December ONLY)
Early/Standard
$260/$310
$160/$210
$160/$210
Please check ALL that you wish to attend:
Conference extras:
 Friday Night Mixer, March 27
 Networking/Success Panel Lunch, Fri., March 27
$15
 Networking Lunch-In, Saturday March 28
$15

Contest Entries
Must submit by February 27
each $15
 Agent Q & A Sessions*
These sessions are free but space is limited.
· Baldi
· Eberhardt
· Evans
· Frederick
· Grajkowski/Scalissi · Popovic
· Shefter Bishop
· Warnock
Conference critiques:
 Written Critiques
Must submit pages by February 27th
· 10 pg Manuscripts
· Poems (per poem)
 Critique Groups*
Space is limited
· Roupp
· TBA
Advanced Manuscript Critiques*
Must submit pages by February 27th
· Coleman
· DeSmet
· Oakley
· Roupp
· Spindler
· Tallard Johnson
$75/$85
Advanced Poetry Critiques*
Must Submit pages by February 27th
Taylor
$65/75
Agent Pitches and Practice Pitches:
Early/Standard
 One-On-One Pitches with an Agent or Editor* each $15
Limit 2 until Friday, February 2nd, 8 am
· Baldi
· Eberhardt
· Evans
· Frederick
· Grajkowski
· Popovic
· Scalissi
· Shefter Bishop
· Warnock
Please check our Agent page for detailed bios
 Practice Pitch Sessions*
· Kurz
· Miyamoto
· Oakley
each $50/$60
each $12/$20
$65/$75
each $10
Writing Genres
Please tell us your preferred writing style from this list
· Fiction
· Nonfiction
· Poetry
* Appointments are necessary for this category. Please register online or call 608-262-2451 or 800-725-9692
· Memoir
· Other (Please indicate)
· Young Adult
26th Annual Writers’ Institute Registration Form
Participant Information
Name: ________________________________________________________
Writing Genre:___________________________________________
Totals:
Address: ______________________________________________________
General Conference Fee
______
Friday Networking/Success Panel Luncheon
______
City _________________________State: _______Zip Code: ____________
Email (required): _______________________________________________
Phone number: ( ______ ) ________________________________________
Area code
Cell phone: ( ______ ) ___________________________________________
Area code
Contest Entries
___ x ______ = _______
Agent Q & A Sessions*
___ x ______ = _______
10 pg Manuscript Written Critiques
___ x ______ = _______
Poem Written Critiques
___ x ______ = _______
Critique Groups*
___ x ______ = _______
Advanced Manuscript Critiques*
___ x ______ = _______
Advanced Poetry Critiques*
___ x ______ = _______
Make checks payable to “UW-Madison Writers’ Institute”
If paying by credit card, please fill in information below:
Please charge to: ___ MasterCard ___ VISA ___ American Express
Card No. ______________________________________Expires:________
Name on Card:_________________________________________________
Mail to:
UW-Extension Registrations, Writers’ Institute
Pyle Center, 702 Langdon Street, Madison, WI 53706
Agent Pitches*
___ x ______ = _______
Call:
608-262-2451 (TDD 265-2370), 800-725-9692
Practice Pitch Sessions*
___ x ______ = _______
Fax:
608-265-3163 or toll-free 800-741-7416
Must include payments by credit card.
List credit card type, number, and expiration date.
Online:
Visit http://continuingstudies.wisc.edu/lsa/writing/awi/
to register online!
Total
_______
* Appointments are necessary please register online or call 608-262-2451 or
800-725-9692