In order to register for Write the Damn Book's 30-Day Challenge, please complete the following form:

(Part 1)

Your Information

Name
First
Last
Telephone Number
Email Address
Which Date?	--- Please select a date --

(Part Two)

Please take a moment to share some information about yourself and your book:

1. What type of book do you want to write?	Workbook Self-help/Personal Development Novel Memoir/Biography/Autobiography Other, please specify:
2. How far along are you?	Just an idea Outline created Partly written Nearly completed Other, please specify:
3. Do you have a plan for marketing your book?	Yes No
4. What attracted you to this program?
5. What else should we know about you and your book?
6. How did you hear about Write the Damn Book?
7. Would you like to be on our mailing list?	Yes No

Thank you for registering! Welcome to Write the Damn Book.

(Part 3)

Price: USD $79

Preferred Method of payment:
Credit Card or E-check (goes to Paypal)
Check or Money Order

Cancellation Policy:

Full refund up to 30 days prior to workshop date. Fifty percent refund between 29 - 7 days prior to workshop date. No refund for cancellations with less than 7 days notice, but dollars may be applied to future workshop or other services.