MRW Membership Form 20-21
Email address *
First and Last Name (Legal Name) *
Town and State (Country if applicable) *
Phone Number *
Pen Name
Website
PERSONAL FB page URL (not your AUTHOR group page) where we can friend you and then add you to our CLOSED MRW FB group
Check all that apply *
Required
How would you like your meeting name tag to read?
Clear selection
May we share your contact information with the current MRW membership? (Check all that apply) *
Required
What genres do you write? (Check all that apply) *
Required
Membership new: $35 ($15 Jan-June) Renewal: $30
Membership dues run July 1, 2020-June 30, 2021. Membership renewals for 2022 will start in May 2021.
A copy of your responses will be emailed to the address you provided.
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