NOTE: You must be a member of National RWA to join MORWA.
| *RWA National Membership
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| *First Name: |
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| *Last Name: |
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| *Street Address: |
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| *City: |
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| *State: |
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| *Zip: |
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*Home Phone:
ex: (xxx)123-4567 |
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| Best Time To Call: |
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Cell Phone:
ex: (xxx)123-4567 |
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Birthday:
(Month/Day Only) |
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| *Email Address: |
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| Website: |
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| Check all
that apply: |
Published, romantic fiction |
Published, Other |
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Unpublished |
Editor |
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Press |
Media Representative |
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Bookseller |
Agent |
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Other
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If Published, please
list pseudonyms and Publishers:
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Yes, I'm willing to act as a resource
for other members in the following areas of expertise. I
understand that this information will be printed in the Membership
Directory.
(Example: Army Officer, alpaca farming, minor league baseball)
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| *My personal information
may be printed in the Membership Directory:
Yes
No
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Please rank two or three
committees you'd be willing to serve on.
(Note: MORWA Bylaws require everyone to serve on at least one
committee (Art. V.A.1.a)) |
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Contest Committee |
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Chapter Programs |
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Special Events |
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Other |
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(If other, please specify)
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Newsletter |
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Publicity |
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*I verify the information provided on this form is true as of this
submission and that checking this box
constitutes my formal
agreement to become a member of the Missouri Romance Writers of
America.
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| *Dues:
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$25 new membership |
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$15 new membership, if joining after June 30, 2009 |
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$25 membership renewal, due January 31, 2009 |
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$30 membership renewal, if renewing after January 31, 2009
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*How will you be
paying?
(You will be provided with
Paypal links and a mailing address for checks/money orders on the next page. )
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Check or Money Order sent via mail
Check or Money Order delivered at the next meeting
Paypal (NOTE: All Paypal
payments will have an additional $2
transaction fee added to the dues amount.)
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| If you would like to
donate to the MORWA Hope Fund, used to sponsor MORWA memberships to writers undergoing temporary financial
hardship, simply include your donation on your check/money order.
If you choose to pay your membership fee via Paypal, an opportunity
to donate via Paypal will be presented after you
complete your membership payment. |
Submitting this form will send the information to the MORWA Membership
Committee and chapter Treasurer.
Please submit this form only once. You will receive a verification
copy of this form at the email specified above.
