http://espan-rwa.com/feed/

Thursday, 9 of September of 2010

Print

ESPAN RWA Membership Application

Please fill out the form below in order to apply for membership with ESPAN RWA
(Electronic and Small Press Authors’ Network, RWA Special Interest Chapter #200)

Membership Type:  General Membership Associate Membership

Your Real Name:

Your Email:

Street Address:
City: , State/Prov:
Zip/Postal Code: Country:
*NB: The above is all required information

Phone # (for office use only)
Home (required): Work:

Website URL:

National RWA Member # (required):

Published?  Yes No Fiction Non-Fiction Romance Other

Pen name/Psuedonym(s):

Publisher(s):

General Member Dues $20 if joining 10/1 to 3/31 or $10 if joining after 4/1 but before 9/30

Associate Member Dues $15 if joining 10/1 to 3/31 or $7.50 if joining after 4/1 but before 9/30

* If you haven’t already paid the Paypal payment link can be found HERE on the Join Us page

If paying by check (made paypable to ESPAN), please contact Nancy Schumacher, Treasurer for the snail mail addy