Name:

Published Aspiring

Email that you would like the E-vite to go to:

If Email payment will be made under a different email than above, please provide payment email:

Are there any special accommodation you would need to participate? Please specify:

Are you a member of Beaumonde?:
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If not, would you be interested in receiving information on membership?:
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Would you like to be added to the Beaumonde Academe Mailing List to receive information on future workshops?:
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Please let us know if there is a particular interest you would like to attend a workshop in: