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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. Or you can download the form in Word format or pdf format (which requires Adobe Acrobat Reader to open).

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 NUMBER
_______________________________________________________
Please note: You must be a member of RWA® before you can join GVC. To find out more about RWA®, click here.
ADDRESS
_______________________________________________________
_________________________Postal Code____________________
PHONE
_______________________________________________________
FAX
_______________________________________________________
Should you be phoned before a fax is sent? Circle either YES or NO.
E-MAIL
_______________________________________________________
Are you
_____ unpublished
  _____ published
In
_____ book-length romantic fiction
_____ other
How did you hear about RWA® and GVC?
_______________________________________________________
_______________________________________________________

Your address and contact information will be included in the Chapter’s membership list (for RWA®-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 RWA®, and will observe faithfully the rules thereof.

Signed
_______________________________________________________
Date
_______________________________________________________

Please make your cheque payable to RWA-GVC (RWA®-Greater Vancouver Chapter). Dues are $35.00, renewed July 1 every year. If you join during July-December, remit $35.00; January-June, remit $20.00. 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 2, 2008.