THE
BLACK DIAMONDS CHAPTER OF THE RWA
MEMBERSHIP APPLICATION FORM
(All information is for RWA use
only)
NAME:
_____________________________________________________
ADDRESS:___________________________________________________
PHONE:_____________________________________________________
RWA MEMBERSHIP
NUMBER:________________________________
EMAIL
ADDRESS:____________________________________________
Published: Yes____________________
No________________________
If yes, please give us the
publisher, line and pseudonym if any:_____________________
________________________________________________________________________
________________________________________________________________________
Non-Published: Yes__________________
No________________________
Areas of writing
interest: (genre):__________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
The Black Diamond
Chapter dues are $25.00 per year. Membership in good standing with the
national RWA is required in order to be a member of The Black Diamonds. Make
all checks payable to: The Black Diamonds of the RWA.
Mail application to:
1100 Windhaven Ct. Brentwood Ca. 94513
|
