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Peninsula Chapter of the Romance Writers of America® Application for Membership

(please print and mail)

 

Dues: New or Renewing Member: 30.00

 

Renewing Member after 3/31/08: 35.00

 

Associate member (bookseller, agent or editor): 30.00

 

MAIL COMPLETED FORM AND CHECK TO:

 

PENINSULA CHAPTER

 

PO BOX 158, SOUTHWORTH WA 98386

 

IMPORTANT NOTE: You must be a member of Romance Writers of America to join Peninsula Chapter

 

New Membership ______ Renewal Membership _______

 

Associate Membership _______ Renewal Assoc. Membership _______

 

PLEASE print or write clearly

 

Name:_______________________________________________________

 

National RWA Member Number ___________________

 

Address:_____________________________________________________

 

City:__________________St.:________ Zip: _______ Country:__________

 

Phone # (for office use only) ________________ (H) ________________ (W)

 

Email________________________________________________________

 

Web site __________________________________________________

 

Date of Birth (mo/day): _________________________________________

 

Published? Yes __No __

 

If yes, check all that apply: Romance____ Fiction (other than romance) ____

 

Non Fiction____ Other____________________

 

Most recent title: __________________________________________

Pseudonym(s)__________________________________________

 

 

Publisher(s): _____________________________________________

Peninsula Chapter RWA is a nonprofit association affiliated with the national organization of Romance Writers of America (RWA).

 

Dues can be mailed to PO Box  158, Southworth, WA 98386

Or PayPal treasurer@penrwa.org

If you pay through PayPal shoot us an email and let us know (THANKS :))

 

Membership in the RWA is a prerequisite to membership in the Peninsula Chapter.

 

National RWA dues for new members are $90. Peninsula Chapter dues are $30 annually, payable December 31st of the previous year.

 

$35.00 After March 31st.