CWC-BB Membership Form
for the Berkeley Branch of the
Name *
Your answer
Are you new to our club or renewing? *
If you are renewing, you don't need to fill out this form! If returning, please check with before continuing.
Mailing address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Telephone *
Your answer
Email address *
Your answer
Dual Membership
if dual member, to what other branch do you belong?
Your answer
Type of work you do
check as many as apply
Knowledge, skills, abilities you can share
Writers research a wide variety of subjects for their products. Subjects I have expertise in (hobbies/training/experience/interests) and can share with other writers include:
Your answer
Membership Category *
Detailed information about categories and their requirements can be found on our website at
Show me in the member directory
(for member use only)
Do you have a website?
Your answer
Have you published a book?
If so, please type the title in the box and visit the Published Members Page ( to be listed online.
Your answer
One last question...
Did you pay via paypal or check?
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