THE HEART OF DENVER ROMANCE WRITERS

MEMBERSHIP APPLICATION

Date_____________   Payment sent ______by PayPal   ________by Check

Name___________________________________________________________________

Address_________________________________________________________________

City, State, Zip___________________________________________________________

Phone Number___________________________E-mail Address____________________

Are you published in fiction? YES_______NO_______

If Published, Please list publisher(s), line(s), and genre(s)__________________________

________________________________________________________________________

If pre-published, have you completed a manuscript? YES________NO_________

What line(s), and genre(s) are you targeting?____________________________________

________________________________________________________________________

RWA Membership is required within 90 days. RWA Member#___________________

What would you like from this organization?____________________________________

________________________________________________________________________

Would you be interested in volunteering? YES_________NO__________

Would you be interested in joining the HODRW e-mail loop? YES_______NO________

Do you have an area of interest or expertise that you would be willing to share with the group?__________________________________________________________________

Where did you hear about us?________________________________________________

Please make checks payable to HODRW for $30 for new members; $25 for renewals.  Membership application and dues can be mailed to:

HODRW
P.O. Box 3811
Englewood, CO 80155

Or you may pay online using PayPal.  Payments should be directed to treasurer@hodrw.com

This form should then be copied and pasted in an email and sent to lesli-j@juno.com

Please note that the payment was made via PayPal.

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For Office Use Only

Date Received By Treasurer___________Date Received By Membership_____________

Check #_______________ Initial Contact________________ Packet________________

Name Tag_____________ Loop______________ Roster______________ RWA# Logged_____________