Name

Job title

Employer or Institution

Your mailing address

City State: Country: Zip or postal code

Phone

Email address fax

Who is your first choice for instructor (Sandra Blakeslee, Ken Chang, Glennda Chui, George Johnson, or Peter Petre)?

Blakeslee Chang Chui Johnson Petre

Second choice?

Blakeslee Chang Chui Johnson Petre Third choice? Blakeslee Chang Chui Johnson Petre

Are you a vegetarian? Will you have a car?

The following information will be used by Ghost Ranch Santa Fe to make housing assignments:

Age

Female Male

Please check the appropriate box(es):

Commuter. I do not need housing. ($150 fee to Ghost Ranch Santa Fe for lunches and other incidentals.)

Double occupancy. Ghost Ranch Santa Fe will assign me a roommate of the same sex, or I will indicate a roommate below. ($375 for five nights with breakfasts and lunches.)

Single room. (If available. $525 for five nights with breakfasts and lunches.) Note: Limited Availability. See the FAQ for suggestions about nearby bed and breakfasts.

Nonparticipant fee. In addition, I will have a companion staying in my double-occupancy room at Ghost Ranch Santa Fe. ($275 to cover lodging and meals.)

I would like to buy tickets at $40 per person for my guest(s) to attend the hike, dinner, and barbecue.

I would like to room with

Total cost for workshop and lodging:

$625 tuition

+ $ guest fee for dinner and bbq (@ $40 a person)

+ $Ghost Ranch Santa Fe's lodging cost or commuter's fee

= $grand total for tuition and lodging (please remit by check upon notification of acceptance to Santa Fe Science Writing Workshop)

After pressing the button, please wait until you see the "thank you" screen acknowledging your application.