Member Application/Renewal Application
Chapter # 202
Chapter of RWA
Mailing
instructions below. You
may also copy and paste this document into email and send to Treasurer
Sandy Loyd. You can also pay with Paypal.
Send payment to: Lou_Romance_Writers@hotmail.com.
Please note in comment/note section that payment is for new member dues.
Note: Dues are not deductible as charitable expense but may be deducted as a business expense.
Annual dues (subject to change) are $20 All renewals are due
by January 1. Please fill in the following information as completely as
possible and enclose a check or money order made out to Louisville Romance
Writers. No cash. Mail to: J. Kayse
Name:_________________________________________________________
RWA Membership Number (required for membership in LRW):___________________
What type of RWA membership do you currently have: ______ General membership (writers/authors)
______ Associate membership
Address:________________________________________________________
City, State, Zip:_______________________________________ __________________________
Phone:_____________________________Fax:_________________________
E-Mail:_________________________________________________________
Do you have a homepage or other on-line site you would like to have linked to our Webpage: ___ Yes ___ No
URL for your home page:_________________________________________
Your writing level (select one): Beginner Intermediate Pro Published
Do you belong to PAN? Yes No
Do you belong to PRO? Yes No
If published, please list titles of books, publishers, genre and
publication date below. Pseudonym(s): _______________________ __________________________
In which genres do you write or are interested in writing?
Historical Series Contemporary Fantasy/Paranormal/Vampire Single Title Contemporary
Romantic Suspense/ST or Series Women’s Fiction w/romantic elements Mainstream
Erotica Suspense/Mystery w/romantic elements
What areas of expertise (including your day job) can you educate others about?
Would you be willing to give a teaching/research workshop? Yes No Maybe
Would you be willing to serve the chapter in some capacity? Yes No Sometime In The Future
What are your needs at the level you write at? This is very important as it helps us develop workshops and programs to fit our writers needs.