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MRW Membership Form 2022-2023
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* Required
Email
*
Your email
First and Last Name (Legal Name)
*
Your answer
Town and State (Country if applicable)
*
Your answer
Phone Number
*
Your answer
Pen Name
Your answer
Website
Your answer
PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
Your answer
Check all that apply
*
Published in Romance
Published in another genre
Unpublished
Required
How would you like your meeting name tag to read?
Legal Name Only
Pen Name Only
LEGAL NAME/Pen Name
PEN NAME/Legal Name
Clear selection
May we share your contact information with the current MRW membership? (Check all that apply)
*
Email
Phone Number
Pen Name
No
Required
What genres do you write? (Check all that apply)
*
Contemporary
Romantic Suspense
Mystery
Inspirational
Young Adult
Historical
Paranormal
Science Fiction
Women's Fiction
Other
Required
Membership new: $35 ($15 Jan-March) Renewal: $30
Membership dues run July 1, 2021-June 30, 2022. (Membership renewals for 22/23 will start in May 2022).
Your answer
CURRENT MRW MEMBERS: I request to use Funds from the SUNSHINE FUND to pay my annual dues for 2021/2022 (this is a confidential request and seen only by the President, Membership Chair & Treasurer)
Yes
No
Clear selection
Submit
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