Membership Information
San Joaquin Valley Writers Group
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Email *
NAME *
PEN NAME
ADDRESS *
HOME PHONE *
CELL PHONE *
WEBSITE/BLOG
FB/TWITTER/SOCIAL MEDIA
CAN WE SHARE YOUR CONTACT INFORMATION WITH OTHER MEMBERS? *
PREVIOUS/CURRENT WRITING EXPERIENCE
GENRE
WRITING DESCRIPTION
STATUS
CWC- often needs volunteers for a variety of support efforts. Please indicate your interests.   *
Required
PLEASE LIST SPECIAL SKILLS:
Do you have Auto insurance? (required for CWC volunteers) *
If you are a published author would you be interested in participating in the Author Spotlight program? *
Are you a student requesting a membership dues scholarship?
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SIGNATURE (placing your name on this document indicates you agree with the information provided) *
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