U.S. POETS IN MEXICO - POETRY WORKSHOPS 2009

APPLICATION

Deadline: November 30, 2008

Application package (including signed & dated Application, 4-6 poems-no more than 8 pages total in length and a $25 check or money order) is due by November 30, 2008.  Kindly mail to: USPIM, P.O. Box 4150, Grand Central Station, NYC, NY 10163

After a review of submissions, acceptance notifications will be sent promptly every week via email on a first come/first selected basis.
Tuition and fees are due upon acceptance. On November 20th an email will be sent to all participants with email contacts for all participants, relevant travel and program information and orientation information. 

Thank you for your interest in U.S. Poets in Mexico.

Name  ____________________________________________________Gender ______
Permanent Address ______________________________________________________
Phone _______________________
*E-mail (Needed for acceptance notification) ___________________________________
(We will not sell your email address to anyone.)
Date of Birth _________________  Occupation: ________________________________
Passport # _______________________________ Country _______________________

Have you participated in other Workshops? ____________________________________
If yes, where?___________________________________________________________
______________________________________________________________________

Have your published your work? If so, please list titles, publisher, date: (& use back of form)
_____________________________________________________________________

I intend to participate in the Poetry Workshops ONLY _____
I intend to participate in Poetry Workshops & also: ____Spanish Lessons (level: ________)
_____Day trip to Uxmal _____Day trip to Celestun

How did you hear about U.S. Poets in Mexico?  _________________________________

Tuition & Fees   (Now accepting PayPal payments. Visit PayPal.com  and use our email: uspim@earthlink.net)
Reading Fee                $ 25.00    (Include with application & Submissions, non-refundable)
Registration Fee           200.00    (Due upon acceptance, non-refundable)
Tuition                            450.00    (Workshops & USPIM evening events, due upon acceptance)

Optional Fees (at cost & due upon acceptance)
Spanish Lessons           72.00    (four 1 1/2-hour lessons - $18 ea. lesson)
Day trip to Uxmal            37.00    (includes bus, entry fee, tour & lunch)
Day trip to Celestun       50.00    (includes bus, boat tour & lunch)

Airfare and accommodations are not included in the above fees.

Terms and Conditions


Cancellation Policy
The balance of your tuition (minus the $200.00 non-refundable registration fee) is 50% refundable before December 15, 2008. After that date, no refunds will be made. In the case of unusual personal circumstances, at the sole discretion of the Director, a full refund may be returned beyond that date.


U.S. Poets in Mexico and its Director reserve the right to cancel any workshop due to unforeseen circumstances and/or substitute faculty due to the same.  In case of insufficient registration, a full refund will be returned to the applicant.  We reserve the right to modify a workshop or tour program without prior notification as may be necessary, and in such an event we will substitute comparable services of equal quality.

Waiver
Participants agree and understand that U.S. Poets in Mexico shall not be liable, directly or indirectly for any delay due to any circumstance, inconvenience, accident, personal injury on the premises where our workshops will be conducted or at tour locations that will be visited or as a result of transportation to and from tour destinations, death, loss, or damage to person or personal property for any participant in the U.S. Poets in Mexico workshop program.  U.S. Poets in Mexico does not assume any responsibility for losses or expenses due to civil unrest, government actions, labor disputes, theft, illness, fire, adverse weather conditions, airlines, other transportation-including tour operations, war or terrorism or any other circumstances beyond our control.


 I have read and agree to the Terms and Conditions of U.S. Poets in Mexico.

Signature ______________________________   Date  ______________________
                 
Printed Name ___________________________

U.S. Poets in Mexico
P.O. Box 4150
Grand Central Station
New York, NY 10163

USPIM@earthlink.net