Printable PDF form
Your Name:* Pseudonym(s): (Published authors - for membership list) Street Address:* City:* State:* Zip:* E-Mail Address:* Website Addres: Telephone number:* RWA Member Number:* PAN Pro Include my information in the NECRWA Membership Directory Yes No (E-mail directory@necrwa.org with questions) Please mark all publishing categories that apply: Agent Editor Bookseller Unpublished writer Published - book length fiction Published - other Genre/Sub-genre: Membership Classification:* General Associate (booksellers, agents, editors, etc.) New or Renewal:* New membership Renewal Paper copy of newsletter mailed to above address: Yes No (Additional $5.00 fee) Payment method:* PayPal Check Other (Membership dues are not deductible as a charitable expense but may be deducted as a business expense) Send check made out to NEC-RWA to: Sandra Tabor, Treasurer7 Minuteman DriveTyngsboro, MA 01879 ($20 surcharge for returned checks) Please Note: YOU MUST BE A MEMBER OF THE NATIONAL ROMANCE WRITERS OF AMERICA ® TO BE A MEMBER OF THE NEW ENGLAND CHAPTER. Guests are permitted to attend a total of three meetings per year. A $4.00 guest fee is to be paid. OPTIONAL: The members of the New England Chapter are our resources. Please let us know of your special talents or areas of expertise, including work experience, hobbies and interests, or any special contacts you have: When done, please or