Passionate Ink Member Details Form
RENEWALS: If you are renewing your membership and you'd like to keep your forum USERNAME (login name) as is and not change your password, you can enter "Same as before." YOU CANNOT DO THIS FOR OTHER FIELDS. You must complete ALL other fields again even if renewing, including your Pen Name. Completing this form in full is required for our due diligence with our RWA affiliation agreement. Thanks! -- PI Membership Director
Legal name {Surname, First) *
Please write your surname first, followed by your first name. This name will not be shown on the PI site or forum.
RWA Name {Surname, First)
If you used the same legal name above, leave this blank. If you used a variation of your name *other* than your legal name to sign up with RWA (like another pen name), please provide that here so we can reconcile your membership with RWA.
Pen Name (Forum Display Name) *
By default, this name will appear in your profile description and next to your photo for posts for your profile on the forum. You can also choose to use your legal name (just type it in again). Please provide at least two name options to ensure you get your choice of name. Feel free to include special notes here.
Contact Information
RWA Number *
Address *
Please enter your ENTIRE mailing address - number and street, city, state and zip code. (We cannot send you your pin if this is not completed to its entirety!)
Official PI Email Address *
Please enter the email address where you'd like to receive all PI member communications. This email address will also be used to set up your forum account.
Other emails (payments, personal)
This is not a required question; however, if you will be sending messages to PI from multiple email addresses (like one for PayPal, one for your real life email, and one for your author's identity/pen name), it can get confusing for us to track the different email communications. If you can let us know what they all are in one place we can better help you/troubleshoot membership issues when you reach out to us! :)
Facebook Profile Name or URL (So we can validate your request to join our closed group)
Website URL
Your PI membership visibility
Your listing on PI's RWA Chapter Site Roster *
RWA's rules for registration require that we disclose all our members on our chapter roster on the RWA site (https://pirwa.rwa.org/). To accommodate your privacy, they have 1) made the roster visible only to PI members. 2) Created PEN NAME fields for the Directory listing. If you do not want to appear AT ALL, do NOT fill out the fields. If you DO, provide your Pen Name there. We cannot manage your Pen Name for you, as RWA's system controls the roster on their new system as of 2019. To make changes, you will need them to make them directly via the directory. THIS DIRECTORY IS ONLY VISIBLE TO FELLOW MEMBERS OF PASSIONATE INK WHO ARE SIGNED IN TO RWA.
Required
List me on the PassionateInk.org site *
For additional promotion and to quickly see which other members are in PI with you, would you like to be listed as a PI member author under your PEN NAME on the PassionateInk.org website? THIS DIRECTORY IS VISIBLE TO ANYONE WHO VISITS www.passionateink.org.
Membership Details
Please confirm your RWA and PI membership status.
PI Membership Year *
Please confirm the membership year year you're signing up for at the time of this form submission. (The membership year runs from Jan 1 - Dec 31.)
PI Status *
Are you a new or returning member of Passionate Ink?
FOR ASSOCIATE MEMBERS:
Please tell us your occupation.
Final Details
Last steps, we promise!
Membership Communications *
Please check the box below to acknowledge. We will never sell, release, or publish your contact information, including your email address or real name.
Required
Membership PINS! *
Please check the box below to receive your membership pin in the mail! RENEWING MEMBERS: Please only choose "yes" if you have NEVER received a pin before. If you would like to replace a lost pin, email secretary@passionateink.org to make arrangements. Thanks!
Required
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