New Member Application Form Dues are $30 for new Members - Please Enter Your Information Below. If you would like to register for next month's workshop, please email the workshops coordinator at workshops @ fthrw.com.Date * RWA Membership # * Name * Pseudonym How you want to be introduced When we introduce you to the chapter on the discussion loop, do you want us to use:Your Real Name OnlyYour Pen Name OnlyBoth Your Real Name and Your PenNameOption 3 Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Email * Paypal Email address *Please enter the email address you will use to pay your dues on paypal (even if it is the same as your author or personal email entered above) Phone Website RWA Status *UnpublishedRWA PRORWA PAN/PAN eligiblePublished in Romance (non PAN) FTHRW Membership FTHRW New Membership Your Name in the Forums *For those writers with a pen name, please indicate if you would like both your real name and pen name to appear in our forums or one or the other. By default new members are entered as "Real Name (w/a Pen Name)" unless you indicate otherwise. Please let us know how you would like to appear in the roster:Your Real Name OnlyYour Pen Name OnlyBoth Your Real Name and Your Pen Name Please check your main interest(s): ContemporaryHistoricalParanormal/FuturisticRegencyRomantica/EroticaSuspenseYoung Adult Do You Belong to other RWA chapters? YesNo If Yes, please list them here: Interested in Volunteering? As with any chapter, it is the people who make it the best it can be. There are always jobs open for volunteers and areas where help is needed. Would you be interested in volunteering?YesNot at this time If Yes, please check areas that may interest you MembershipContestsWebsitePublicityConference CommitteeMember RecognitionWorkshops & Programs How did you hear about FTHRW? Would you like a chapter pin? *We are happy to provide our members with a chapter pin if they would like one. If you check yes, our membership coordinator may contact you to verify your address if the post office says it is in a "non-standard format", their words, not ours 🙂Yes, please, I'd love a pin.No thanks, my lanyard already weighs a ton. Comments or Questions Any additional instructions/information you'd like us to know about please enter here. NOTE: This form is NOT for current member renewals. To RENEW your FTHRW membership, please use the renewal page in the Member's Only section. Questions about your renewal? Contact Treasurer @ fthrw.com. After you click submit, you will be taken to the MyRWA site to complete your payment. VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank