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Central Pennsylvania Romance Writers |
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�Membership Dues are $26.00 annually, prorated at $13.00 after July 1. |
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�Romance Writers of America� (RWA) membership in good standing is required before joining CPRW. Proof of RWA membership must be submitted with your application and dues.. |
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Membership Application |
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First name |
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__________________________________________________________________________ |
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Last name |
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__________________________________________________________________________ |
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Street address |
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City |
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_____________________________________________________________________________ |
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State/Province |
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Zip/Postal Code |
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Country |
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Phone |
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E-mail |
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__________________________________________________________________________ |
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[ ] Please add my e-mail address to the CPRW Yahoogroup. |
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RWA Membership No. |
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It is understood that CPRW may include the above information in its membership roster to be distributed to members only. |
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I am [ ] published [ ] unpbulished, in romantic fiction. |
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Pseudonym(s), if any: _____________________________________________________ |
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My published credits (romance and other) include: ________________________________ |
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__________________________________________________________________________ |
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Date: |
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Signature: |
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| Make check payable for $26.00 membership dues to "CPRW" and mail to: |
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CPRW |
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Attn: Sharon Haferkamp, Treasurer |
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160B Wyoming Ave. |
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Enola, PA 17025 |
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� |
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For additional information e-mail: [email protected] |
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