Membership Form
If you are purchasing a full membership with the Silverleaf Writers Guild, please fill out the following form.

Most of this information will remain private and will only be accessed by members of the guild's Board of Directors. If you say "yes" to having an author profile, the following information will be made public:
- name (or pen name if applicable)
- hometown
- home base
- bio
- link to your external website (or blog/social media profile if you don't have a website)

After you've filled out the form, please complete the payment process. Your membership will not become active until we have received payment.
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Would you like to be listed in our online author directory? It's included in the price of your membership.
Pen Name (if different)
Your answer
Hometown (where you were born) *
Your answer
Home base (where you live now) *
Your answer
Bio (no more than 250 words - we reserve the right to edit this bio for clarity or length)
Your answer
Website (or external blog/social media profile)
Your answer
Would you like to maintain a blog on www.silverleafwriters.com? *
If you answered yes, what would you like to name your blog? (30 characters max)
Your answer
Submit
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