Romance Writers of America

Eastside Romance Writers Chapter #133 Membership Application

Name: ______________________________________ Date: ____________________________

Address: ______________________________________________________________________

______________________________________________________________________________

Phone: (Home)________________________________ (Work)___________________________

Email: _____________________________________

Would you like to be part of the chapter email link? YES NO

Publishing Experiences

Please give a brief writing history, your special interests, and any expectations you have for your membership on this chapter.

I am currently a member of National RWA. Membership # _________________

I am applying for membership to National RWA. Date _____________________

*YOU MUST BE A MEMBER OF RWA NATIONAL TO BELONG TO THE LOCAL CHAPTER*

Send your check and completed application to:

Eastside RWA
P.O. Box 333
Bellevue, WA
98009