Name
Email
Phone
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Title
Address 1
Address 2
City
State
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Writing Experience (if any)
BeginnerIntermediateAdvancedProfessional
Genre(s) of Interest (Select all that apply):
FictionNon-FictionPoetryMemoirFantasy/Sci-FiMystery/ThrillerRomanceYoung AdultChildrenOther (please specify):
Estimated Timeframe for Writing Your Book(s):
Within 3 Months3-6 Months6-12 Months1-2 Years2+ YearsUnsure
Are you interested in additional resources such as toolkits, coaching, or exclusive author community access?
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How did you hear about the Women & Words program?
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Any additional comments or questions?
After submitting, you will receive a confirmation email with further details about the program.
Thank you for being a part of this groundbreaking initiative, and we look forward to empowering your writing journey!