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See Jane Write Membership Application
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Name
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Address 1
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Address 2
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City
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State
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Zip Code
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Are you at least 21 years of age?
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Email Address
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Blog URL
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Instagram Handle
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Facebook URL
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Twitter handle
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How did you learn about See Jane Write?
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Which of the following topics interest you most?
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(Check all that apply.)
Fiction
Poetry
Creative Non-fiction
Memoir writing
Journalism
Freelancing
Blogging
Social Media
Publishing
Self-publishing
Marketing
Personal brand building
Book Club
Entrepreneurship
Fitness
Other:
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What type of writing do you do or aspire to pursue?
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What do you hope to get out of being a member of See Jane Write?
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What specific skills and expertise will you bring to the group?
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Did someone refer you to See Jane Write? If so, please list her name below.
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Please check the box below if you understand that when participating in See Jane Write events your image/likeness may be recorded on audio, video, or photo and used in promotional materials.
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Yes, I understand my image/likeness may be used in promotional materials and I am willing to sign the aforementioned release.
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Please check the box below if you understand and assume complete responsibility for any risks involved when participating in any virtual or in-person events, including See Jane Move fitness events.
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Yes, I understand the risk involved in participating in See Jane Move fitness events and I am willing to sign the aforementioned waiver.
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