ROMANCE WRITERS OF AMERICA, MISSOURI CHAPTER (MoRWA)
MEMBERSHIP APPLICATION
(Rev:12/06)
(Print using your Browser, complete, and mail.)

RWA National Membership Number___________________________

Birthday (month/day)________________

Last Name__________________________ First Name______________________

Street Address______________________________________________________

City_______________________________State___________Zip______________

Home Phone(_______)_______________Best time to call____________________

 

Cell phone (________)_______________

 

E-Mail Address____________________________________________

Website Address (if applicable)__________________________________________

Check box or boxes which apply:

If published, list pseudonyms and publishers:

_________________________________________________________________

_________________________________________________________________

_____YES, I would be willing to act as a resource for other members.

NOTE: This info is published in the Membership Directory (buzz book).
List any area of expertise that might be useful to other writers as a resource:

_________________________________________________________________
_________________________________________________________________

_____YES, my information may be printed in the Membership Directory.


_____NO, my information may not be printed in the Membership Directory.


Committees on which you would like to serve.  Please number with #1 your first choice and so forth.

NOTE: You must be a member of National RWA to join MORWA.

Signature________________________________________ Date______________

_____$25.00 annual membership due Jan. 31, 2007

(* if joining AFTER June 30, 2007 ~ dues are $15)

_____$5.00 late fee if renewing AFTER Jan. 31st (does NOT apply to new members)

_____$5.00 postage fee (*only if you want your Membership Directory mailed to you)

$_____TOTAL Enclosed (Make checks payable to MORWA)

Mail this form and your check or money order to:

MORWA Membership

c/o Wendy Drew

8935 Veterans Memorial Pkwy

O’Fallon, MO 63366