Membership Application for GDRWA

Please note: You must join RWA National before joining a local chapter. Until your National application is processed, we invite you to join GDRWA and attend monthly meetings. It will be up to the member to let us know when they are approved and have received their RWA National membership.

Name:

Pen Name (if applicable):

Address:

City:   State:     Zip:

Home Phone:     Work Phone:   

Email:

Areas of Expertise:

Agent Name (if you have one):

Books Published (if any):

What would you like RWA to do for you?

National Membership Number:     Date:

NOTE: Once you submit this form, you will be sent to a confirmation page to submit your
membership fees via Paypal (or credit card).

Full Membership- $30.00 annually   | Associate Membership - $30.00

* Dues cover from April 1 to March 31

Note: print this application for your records before submitting