Request edit access
MRW Membership Form 2024-2025
Sign in to Google to save your progress. Learn more
Email *
First and Last Name (Legal Name) *
Town and State (Country if applicable) *
Phone Number *
Pen Name
Website
PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
Check all that apply *
Required
How would you like your meeting name tag to read?
Clear selection
May we share your contact information with the current MRW membership? (Check all that apply) *
Required
What genres do you write? (Check all that apply) *
Required
Which membership type do you want?
Memberships run July 1, 2024 - June 30, 2025.
*
Check the box below to add $5 to our Sunshine Fund. The Sunshine Fund is used to help renewing members experiencing financial hardship pay their annual dues.
CURRENT MRW MEMBERS: Check the box below to request to use Funds from the Sunshine Fund to pay your annual dues for 2024/2025 (this is a confidential request and seen only by the President, Membership Chair & Treasurer).
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report