RHODE ISLAND ROMANCE WRITERS
MEMBERSHIP APPLICATION

Name: ___________________________________________________________   Date: ___________________________________

Pseudonym(s): ______________________________________________________________________________________________

Mailing Address: ___________________________________________________________________________________________

City: ____________________________________  State: _______________________  Zip: _______________________________

Phone:  ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___      E-Mail Address: _____________________________________________

[   ]   I am published in book-length romance (or under contract for publication).

[   ]   I am published in other genres/forms.

[   ]   I am not yet published.

What type of writing are you interested in?  Mark each that apply.

[   ]  Series Contemporary (short)                    [   ]  Historical

[   ]  Series Contemporary (long)                      [   ]  Regency

[   ]  Single Title                                                   [   ]  Paranormal

[   ]  Intrigue/Suspense                                       [   ]  Young Adult

[   ]  Other genres:  __________________________________________________________________________________________

[   ]  Non-fiction: ____________________________________________________________________________________________

I understand that there are basic writing requirements for this group and that eligibility for membership renewal in the future may be contingent upon fulfillment of these writing requirements as explained in the new member packet.

Signature__________________________________________________________________________________________________

Annual membership dues are $30.00.  Make check payable to:

Rhode Island Romance Writers

c/o Donna Russo Morin

77 Hidden Lake Drive 

Saunderstown, RI 02874