SJVW Member Information Form
Email address *
Last Name *
Your answer
First Name *
Your answer
Middle Name or Initial
Your answer
Phone Number
Your answer
Are texts ok?
Do you use a pen name or pseudonym? If so, what is it?
Your answer
Do you have a website? If so, what is your web address?
Your answer
Do you use social media? Add links to your accounts. (If you have your social media listed on your website, feel free to leave this blank).
Your answer
What is your level of membership? *
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