NECRWA 2018 Membership Form
NOTE: Our annual membership fee is $35. You must be a member of Romance Writers of America® to join NECRWA. RWA administers a member-supported Perseverance Fund to pay dues for members in need. Guests are permitted to attend a maximum of three monthly meetings per year. A guest fee of $5 is required and payable at the door.
Email address *
First Name *
Your answer
Last Name *
Your answer
Pen Name
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip or Postal Code *
Your answer
Country (if other than USA)
Your answer
Telephone # *
Your answer
RWA # *
Your answer
Website URL (please provide only one)
Your answer
I am (please mark all categories that apply) *
Required
My subgenre(s): (check all that apply)
Membership classification *
Include my information in the (private) NECRWA Membership Directory? *
Include my name and website on the (public) NECRWA website's Members page? *
Bio you'd like included on the (public) NECRWA website's Members page (350 characters max):
Your answer
Special talents and areas of expertise (work experience, hobbies, interests, special contacts) that you are willing to share with other NECRWA Members:
Your answer
NECRWA does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.
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