Inland Empire Chapter - Romance Writers of America

You must first be a member of the national Romance Writers of America to join any local or online chapter of the organization.

Once you have your membership number in RWA, you may join IECRWA.

Instructions:

1. Print a copy of this form.
2. Fill out the form.
3. Mail it with your membership dues.
4. Make check or money order payable to: Inland Empire Romance Writers.
   Send to:
   Patrice Lewis
   IECRWA® Treasurer
   1305 Canyon Ridge Lane
   Plummer, ID 83851
   
5. Or use Pay Pal:
   

Facts to remember:

• Membership begins April 1.
• Dues will be pro-rated 50% [$12.50] for new members joining the chapter after October 1.

Personal Biography:

Name: ________________________________________________

RWA Membership Number:__________

Address: ____________________________________

Birthdate: _____________

City, State, Zipcode: _________________________________________________

Home Phone: __________________________

Work Phone: __________________

Email Address: _______________________

Web site: ____________________________

Writing Background:

How long have you been writing? _____

Pseudonym(s) _______________

Are you published? _____ Unpublished? _____ (If published please list titles on the back)

What genre do you write? Check all that apply:

Contemporary? ___ Historical? ___ Time Period ___________

Regency? ___ Romantic Suspense? ___ Inspirational? ___

Paranormal? ___ Fantasy? ___ Futuristic/Sci-Fi? ___ Other? ___________________________________________________

Dues Sent by: Check # _______________________ Pay Pal _______________

I fully understand the level of responsibility I have accepted with membership to IECRWA. I will faithfully adhere to the purpose and bylaws of the IECRWA.

Sign:________________________________________

Date: ____________

Why do you wish to join IECRWA?

_______________________________________________________________________