Virginia Romance Writers Membership

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Please take a minute to answer this application/questionnaire.
It will provide our members with an opportunity to know you better.

Renewing VRW members, please fill out this form again to update our records.

Name

Pseudonym (if applicable)

Address

City

State

Zip Code

Phone

RWA Number
Membership in RWA is required to be a member of VRW.

Are you published in romance or have a book
accepted for publication?

Yes
No

Do you have a web site to promote your writing?

In what genre do you write? (check all that apply)

Short Contemporary (under 70,000 words)
Long Contemporary (over 70,000 words)
Traditional (sweet)
Single Title/Mainstream
Young Adult
Historical/Regency
Romantic Suspense
Extra Spicy/Erotica
Paranormal/Time Travel/Fantasy/Futuristic
Inspirational
Women's Fiction
Chick Lit
Other

What programs, speakers, topics, etc. would you like
VRW to present at a future meeting or workshop?

Is there anything else you would like to tell us
about yourself and your writing?

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Once you click on the submit button, you will be taken to the payment page with further instructions.
You will also receive a confirmation email of all the above information you have submitted.

If you prefer not to use the on-line payment method, you may fill out and PRINT this form
(DO NOT HIT THE SUBMIT BUTTON)
and mail it with your $25.00 payment. Contact the Membership Chair at vrwmembership@gmail.com for the mailing address.
Please make your check or money order payable to Virginia Romance Writers.

Thanks so much for your interest in VRW. We look forward to hearing from you!
Carolyn Esau, Membership
vrwmembership@gmail.com

Updated Aug. 20, 2009