membership application

Date
(mm/dd/yyyy)

First Name

Last Name

NOTE: To be a member of Eastside Romance Writers (RWA Chapter #133), you must be a member in good standing of our national organization.

Yes, I am a member of RWA, and my membership number is

No, I am not currently a member of RWA, but I have applied for membership on
(mm/dd/yyyy)

Are you (or have you applied as) a general member or an associate member of RWA?
General
Associate

Are you a published author?
Yes
No

If yes, under what pseudonym are you published?

What genre(s) do you write in?

Which sub-genre(s), if applicable?

Other publishing history

We like to do a short bio of new members on our chapter email loop and in our newsletter. Anything you’d like to share? Hobbies? Professions? Quirks?

Street Address

City

State

Zip

Home Phone

Cell Phone

Website

Blog

Twitter

Facebook

MySpace

Other Social Media

Note: Our chapter is volunteer powered, and we’re always looking for new ideas and new members to keep our organization supportive, forward thinking, and industry focused. Which of these positions would you be interested in? (please mark all that apply)

President

Vice-President

Secretary

Treasurer

Newsletter Editor

Webmistress

Membership, Promo & Marketing

Email Loop Coordinator

To pay your dues via Paypal, please go to www.paypal.com and log in. Then click on “Send Money” and use “webmistress@eastsiderwa.org” as the address to send money to. The cost per year is $30. Be sure to note your name and RWA membership number in the comments field so we can match it up with the records.

To pay your dues via snail mail, please make a check for $30 payable to “EASTSIDE RWA” and mail it to: Eastside RWA, PO Box 333, Bellevue WA 98004-4292. Include your RWA membership number on the check.

Note: snail mail payment checks will take longer to process than via PayPal.