The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

MRW Membership Form 2026-2027
225 responses
Loading...
Loading responses…
First and Last Name (Legal Name)
Copy chart
No responses yet for this question.
Home mailing address
Copy chart
No responses yet for this question.
Phone Number
Copy chart
No responses yet for this question.
Pen Name
Copy chart
No responses yet for this question.
Website
Copy chart
No responses yet for this question.
PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
Copy chart
No responses yet for this question.
Check all that apply
Copy chart
No responses yet for this question.
How would you like your meeting name tag to read?
Copy chart
No responses yet for this question.
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. 
No responses yet for this question.
May we share your contact information with the current MRW membership? (Check all that apply)
Copy chart
No responses yet for this question.
What genres do you write? (Check all that apply)
Copy chart
No responses yet for this question.
Which membership type do you want?
Memberships run July 1, 2024 - June 30, 2025.
Copy chart
No responses yet for this question.
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.
Copy chart
No responses yet for this question.
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).
Copy chart
No responses yet for this question.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

.