New Member Application Form

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 CodeCountry

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)

Your Name of the Website Roster

For those writers with a pen name, please indicate if you would like both your real name and pen name to appear in our website roster 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

Online Membership Roster *

For those writers with a pen name, please indicate if you would like your real name OR your pen name to appear in our website roster. 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:Real name AND Pen NamePen Name OnlyReal NameOnly

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 Volunterring?

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

MembershipContestsWebsitePublicityMentorshipConference CommitteeMember RecognitionWorkshops & Programs

How did you hear about FTHRW?

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.

New Member Application Form

Dues are $25 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.

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