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Maumee Valley Romance
Writers of America Chapter # 126 -- Toledo, OH |
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| MVRWA |
Membership/Renewal Application
(Note: You must join National RWA in order to join the Local Chapter.)
Name: _____________________________________________________________ Pen Name(s) if any:___________________________________________________ Street: _____________________________________________________________ City: _______________________________ State:___________________ Zip: _________ Home Phone: _________________________ Work Phone: ________________________ E-mail Address: __________________________________________________________ Areas of Expertise: ________________________________________________________ How did you hear about RWA? _______________________________________________ Type of writing you do: Short Stories -- Confessions -- Category -- Contemporary _________________________________________________________________________ Agent's name, if applicable: ___________________________________________________ Books Published, if applicable: _________________________________________________________________________ What would you like RWA to do for you? _________________________________________ __________________________________________________________________________ National Membership Number: ________________________________________________ Dues: Full Membership $24.00 annually Mail completed application form to: Maumee Valley RWA Chapter 126, Connie Phillips, 524 Pauly Dr., Perrysburg, OH 43551 * E-mail Connie at Phillips.Connie@gmail.com] if you have any questions. |
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UPCOMING MEETINGS:Holland Branch Library (***Unless other location noted***) 10:00am - NOON |
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Copyright MVRWA 2006 Last Update 08/01/08 |
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