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

Name
Pseudonym (if applicable)
Address
City
State
Zip Code
Phone
Email
RWA Number Membership in RWA is required to be a member of VRW.
What is the title of our romance in progress?
Approximately how many pages of your current novel have you written?
Do you have a website to promote your writing?
In what genre are you currently interested?	Short Contemporary (under 65,000 words) Long Contemporary (over 65,000 words) Traditional (sweet) Single Title/Mainstream Young Adult Historical/Regency Romantic Suspense Extra Spicy/Erotica Paranormal/Time Travel/Futuristic/Fantasy Inspirational Women's Fiction Chic Lit Other
Have you had any romance books published? Please list:
Have you had any non-romance books published? Please list:
Have you had a book accepted for publication?	Yes No
What programs, speakers, etc. would you like VRW to invite to meetings or workshops?
Do you belong to other writing organizations? Please list:
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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 to the address below.
Please make your check or money order payable to Virginia Romance Writers.

Val Papkey, Membership Chair
741 Jouett Drive
Newport News, VA 23608
vpapkey@yahoo.com

Thank you!