2007 Membership/Renewal Application
(Note: You must join National RWA in order to join the Local Chapter.)
Date: _________________________
2007 Membership/Renewal Application
(Note: You must join National RWA in order to join the Local Chapter.)
Date: _________________________
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
-- Mainstream -- Regencies -- Historicals -- Inspirationals -- Other:
_________________________________________________________________________
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.