CNRW membership form – Chicago-North Romance Writers

CNRWA Membership

Membership

New

Renewal

First Name *

Last Name *

Address *

Address2

City *

State

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

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