New Member Enrollment Form

2017 NEW MEMBER ENROLLMENT FORM

RWA Profile

Please remember you must be a member of RWA to join Carolina Romance Writers. Chapter memberships run from January to December. New membership fee is $40 per person. New member fee is half price from July through November.

RWA Membership Number *

Name *

First

Last

Is this your real name or Pen Name? *

Real Name Pen Name

Name for Badge? *

When is your birthday? Month/Day *

If you have a Pen Name, please enter it here. *

What is your RWA Status? *

Member PRO PAN

Contact Info

Email *

Address *

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City

State

Zip Code

Country

Phone Number *

Member Profile - Tell us what you write

Are you published? Share your titles below *

Social Media Profile
Where can members find you on the web? Don't forget, you can find us on Twitter and Facebook too!

Facebook Page *

Twitter Page *

Tumblr *

LinkedIn *

Author Website/Blog URL *

Do you want to be listed on the CRW Website Member Page? *

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Volunteer Opportunities - CRW runs on volunteers just like you!

When you click submit, you will be redirected to our my.RWA online store.