ROSA Membership Application
Information provided on this form will be used for administrative purposes only and will not be distributed.
Membership Fees 2019-20
The following membership rates are applicable for year starting 1 July 2019 until 30 June 2020.

Membership fees for the full year: R250.
New members joining between 1 October 2019 and 31 December 2019: R200.
New members joining between 1 January 2020 and 31 March 2020: R150.
New members joining between 1 April 2020 and 30 June 2020: R100

PLEASE ONLY PAY ONCE YOU RECEIVE AN INVOICE. USE THE INVOICE NUMBER AS THE PAYMENT REFERENCE.
Today's date *
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Name *
Pen Name (if applicable):
Are you a new or existing member? *
Required
Existing membership number (if applicable):
Primary email address: *
Secondary email address:
Cell phone number: *
Would you like to be added to your local chapter's WhatsApp group, if there is one? *
Required
City/town of residence: *
Postal address: *
Current / previous occupation(s): *
Writing support services:
Do you provide professional services to other authors, such as editing, cover design, marketing, etc which you would like to promote to other members? If so, please provide information on the services you offer.
Are you currently...? *
Please check all applicable boxes
Required
Year of first publication in fiction for a work over 10,000 words (if applicable):
Preferred sub-genres or special interest?
Website (if applicable):
Please include the http:// part of your web address
Facebook page/profile (if applicable):
Please include the http:// part of your web address
Twitter handle (if applicable):
Please include the http:// part of your web address
Instagram link (if applicable):
Please include the http:// part of your web address
How did you hear of ROSA? *
Required
Are you willing to volunteer for ROSA? *
For more information on these volunteer opportunities, and what the various positions entail, visit our website at https://www.romancewriters.co.za/volunteers
Required
Thank you
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