Join CNRW CNRWA Membership Membership New Renewal First Name * Last Name * Address * Address2 City * State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code * Email Address * Phone Number * Alternative Phone Number Such as work or cell phone Pen Name/Pseudonym Preferred pronouns Website URL Are you published? * Yes No Book Titles If you are a published author, please list your most recent titles. Full Name * My printed name entered here acts as my electronic signature. I understand that as a member of Chicago-North Romance Writers, I am subject to all rules and bylaws as established by Chicago-North Romance Writers. Date * Annual Dues * $35.00 If you are human, leave this field blank. Submit