Form
Name
*
First Name
Last Name
Are you a new or renewing member?
*
New
Renewing
Email
*
example@example.com
RWA Member Number.
*
Renewing members: if you do not know your member number you may enter any number. New members must enter their actual RWA member number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Pen Name
Secondary Pen Name
Do you want to be included in the membership directory that will be shared only with other WRW members?
*
Yes
No
For inclusion in the membership directory, please fill in your website url
For inclusion in the WRW directory, please share your social media links
What genre(s) or sub-genre do you write?
My Products
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WRW Membership
Annual membership
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Paypal Email
*
example@example.com
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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