VRW Membership Renewal

Due February 14th of each year. After the 14th, add a $5.00 late charge.

Name
Pseudonym (if applicable)
Address
City
State
Zip Code
Phone
Email
In what genre/subgenre do you write?	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
What topics would you be interested in learning more about?
Are you published?	Yes No
Do you have a website to promote your writing?
RWA Number Membership in RWA is required to be a member of VRW.
Image Verification Please enter the text from the image [ Refresh Image ] [ What's This? ]
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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!