Section 1 of 1
MRW Membership Form 2026-2027
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First and Last Name (Legal Name)
First and Last Name (Legal Name)
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Home mailing address
Home mailing address
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Phone Number
Phone Number
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Pen Name
Pen Name
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Website
Website
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PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
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Check all that apply
Check all that apply
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Published in Romance
Published in another genre
Unpublished
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How would you like your meeting name tag to read?
How would you like your meeting name tag to read?
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Legal Name Only
Pen Name Only
LEGAL NAME/Pen Name
PEN NAME/Legal Name
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What is your physical address? Does not need to be in Maine. This will not go anywhere but to the board because we will occasionally send out prizes for challenges and other fun things. This let's us do that more easily.
What is your physical address? Does not need to be in Maine. This will not go anywhere but to the board because we will occasionally send out prizes for challenges and other fun things. This let's us do that more easily.
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May we share your contact information with the current MRW membership? (Check all that apply)
May we share your contact information with the current MRW membership? (Check all that apply)
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Email
Phone Number
Pen Name
No
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What genres do you write? (Check all that apply)
What genres do you write? (Check all that apply)
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Contemporary
Romantic Suspense
Mystery
Inspirational
Young Adult
Historical
Paranormal
Science Fiction
Women's Fiction
Other
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Which membership type do you want?
Memberships run July 1, 2024 - June 30, 2025.
Which membership type do you want?
Memberships run July 1, 2024 - June 30, 2025.
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New Member - Joining Jul. 1, 2026 - July 31, 2027 - $35
Renewing Member - $30
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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.
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.
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Yes - I'd like to give $5 for the Sunshine Fund.
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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).
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).
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Yes - Sunshine Funds Request
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