Date:(Please Print)

Name
           (Last)                                                             (First)                                                  (M.I.)
                                         (If applicable)
Address

City State Zip

Phone    Other#

Business phone    E-mail

Company Name / Church :

Type of Registration: (Check all that apply)

Early Bird Special $40.00

Regular Registration $45.00

Late Registration $50.00

At The Door $60.00

Students $20.00

One day only $35.00      Fri. or      Sat. (please specify)

Record Co. $200.00

Songwriter Singer Choir Musician

Type of payment and amount paid:
Cash
Check
Money Order

Full Workshop $
One day only $
Students $
 Record Co. $

Total Amount Paid $

Make checks payable to: Gospel Songwriters Music workshop (gsmw) and mail to 5700 Langley Circle, Pensacola, FL 32504.   

Revised 03/29/08

Registration Information

1. The Early Bird Special ends on March 31.

2. Regular registration is from April 1 through June 12. (Full 3-day workshop)

3.  Late registration is any time after June 12.  (Full 3-day workshop) 

4.  Student rates apply for students under the age of 18.  All students under the age of 18 must add a $5.00 late fee if registering at the door 

5. If you plan to participate in the Songwriters Talent showcase, you must complete a showcase registration form and submit with your Talent Showcase fee. 

6.  Special hotel rate is $60 per night.  You must make your own reservations by calling   the Travelers Lodge & Suites on Pensacola Blvd. (850) 473-0222 ask for the Gospel Songwriters workshop special.  After May 31, the regular rate will apply. 

7.  Thirty days prior to the workshop, a refund may be obtained, minus a 30% administrative fee.