PAGE 1 OF 2

VARUNA WRITER DEVELOPMENT 2018
SESSIONAL CONSULTATION /

For writers seeking professional advice to take your work and your skills as a writer to the next stage a Varuna Writer Development Consultationoffers you the opportunity to talk with one of Varuna's writing consultants about the development of your work as you continue to develop as a writer.

Consultations may be by phone, skype or face-to-face (if local or taken as part of residency at Varuna).

Full manuscript readings are best suited for new work that is at an advanced stage of development.See service fees table over the page.

Writer development conversations (one-hour consultation) are best suited to writers in residence and writers who have already had an initial consultation on their work. These consultations do not include additional reading time as part of the service.

Further information about the program can be found on our website here or by contacting theVarunaCreative Director either by by phone (02) 4782 5761.

Once you have completed this form please save form as: YOUR NAME RES CONSULT (eg MARY WEBB RES CONSULT) and return by email

NAME:
EMAIL ADDRESS:
PHONE (LANDLINE): / ( )
MOBILE
MS TITLE:

NO. OF PAGES and NO. OF WORDS SUBMITED: pages words

Please attach latest draft or pages of your manuscript with your email request (not needed for Writer Conversations)

PROJECT DESCRIPTION (UP TO 100 WORDS):

SPECIFIC ISSUES TO TACKLE (UP TO 200 WORDS):

YOUR WRITING EXPERIENCE/BACKGROUND: (UP TO 200 WORDS):

CONSULTANT PREFERENCES (OPTIONAL): details of Varuna consultants can be found on our website here (About Us – Varuna People – Writing Consultants)

1.

2.

3.

CONSULTATION SERVICE AND FEES (CURRENTTILL JUNE 30, 2018)

SERVICE AND INCLUSIONS (all fees quoted are gst inclusive) / FEE / PLEASE INDICATE THE SERVICE YOU WANT
Partial MS Reading (up to 50pages) + one hour consultation / $295 / $
Full MS reading (up to 70,000 words) +one-hour consultation / $665 / $
Full MS reading (70,000 – 90,000 words) +one hour consultation / $770 / $
Full MS reading (90,000 – 110,000 words) +one hour consultation / $880 / $
Writer development conversation: one-hour consultation / $110 / $
TOTAL COST OF SERVICE / $

Payment details:Date of payment: / /

I have completed my credit card details for $ ______

Name on Credit Card: ………………………………………………………

Type of Card:Mastercard Visa

Card Number: ______

Expiry Date:_ _ / _ _Fraud minimisation CCV ______(3 digits)

The CCV security code is printed on the signature strip on the reverse side of the card. Other numbers may precede the CCV, The last three digits on the signature strip are the CCV

OR

I have paid $ ______by direct deposit (EFT) to the Eleanor Dark Foundation account

Reference: please use your surname as reference:

Account details: Westpac Bank ~ BSB: 032828 ~ Account number: 167229

OR

I have enclosed a cheque/money order made out to The Eleanor Dark Foundationfor $ ____

Signature: ______

Please email consult form to: and form with payment details to or mail to 141 Cascade St,Katoomba NSW 2780

Thank you. We will issue a receipt after we have charged you

2018 program consult sessional.doc

25 January 2018