Registration Form

BBLFF Build-Up Online Program

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* 1. Full Name

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* 3. Age

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* 4. Email Address

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* 5. Phone number

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* 7. City

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* 8. What is your current writing experience level?

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* 9. What genre(s) do you write in?

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* 10. Have you published any work previously?

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* 11. Are you currently working on a writing project? If so, please briefly describe.

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* 12. What specific areas of writing do you want to improve or learn more about?

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* 14. How did you hear about this webinar?

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* 15. Do you consent to the possible use of your participation in this webinar for promotional purposes?

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* 16. Would you like to receive news about future workshops, promotional material and such from us?

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* 17. Please print (or type) your initials and surname in the space provided as your signature.

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