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Application Form

Please print this form, fill it out, and mail it to the address below, along with a cheque for your membership fee.

Name
_______________________________________________________
If you're published in book-length romance fiction and write under a different name, what name do you write under?
_______________________________________________________
What name do you want to use on our membership list, etc.?
_______________________________________________________
RWA® Membership #
_______________________________________________________
Please note: You must be a member of RWA® before you can join GVC. To find out more about RWA®, click here.
Address
_______________________________________________________
_______________________________________________________
Phone
_______________________________________________________
Fax
_______________________________________________________
Should you be phoned before a fax is sent? Circle either YES or NO.
Email
_______________________________________________________
Are you
_____ unpublished
_____ published in book-length romantic fiction
_____ published in other form
How did you
_______________________________________________________
hear about
_______________________________________________________
RWA® and GVC?
_______________________________________________________

Your address and contact information will be included in the Chapter's membership list (for GVC approved use only) unless you state otherwise.

I voluntarily accept and agree to be bound by the Bylaws and Policies of the Greater Vancouver Chapter of the Romance Writers of America®, and will observe faithfully the rules thereof.

Signed
_______________________________________________________
Dated
_______________________________________________________

Please make your cheque payable to RWA®-GVC. Dues are $35, renewed July 1 every year. If you join during July-December, remit $35; January-June, remit $20. Enclose payment with this application form and mail to:

Membership Secretary, RWA®-GVC
PO Box 36522
Seafair P.O.
Richmond, BC
V7C 5M4

THANK YOU!

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This page was last updated August 12, 2007.