New England Chapter - RWA ®
Membership Application

Membership August 1 - July 31. Dues $30.00 *Required fields

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Agent   Editor   Bookseller   Unpublished writer   Published - book length fiction   Published - other    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, Treasurer
7 Minuteman Drive
Tyngsboro, 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