membership :: Renewal form

Thanks for your continued membership in Desert Rose! We value you and look forward to serving you for another year. To renew, fill out the form below. Or if you prefer, you can auto-fill this form, print this page, and mail a copy of the completed form along with your check, made payable to Desert Rose Chapter 60 to:

Membership Renewal
Desert Rose RWA®
PO Box 27407
Tempe, AZ 85285-7407

Dues of $25 are payable on or before January 31. Members paying after January 31 will pay the $30 new member fee.


personal information

 

** If you are a DR member you can enter your email to auto-fill your form.
First Name:
Last Name:
Pseudonym:
Address:
City/State/Zip:
Day Phone:
Evening Phone:
Fax Number:
Web Site URL:
Birthday (month & day):
Where did you hear about us? Do you have any comments?

 

Professional Information

 

Important Notice:

Membership with the National Romance Writers of America is mandatory. if you do not already have a national RWA® number, you will be required to become a member in order to join Desert Rose RWA®.
National RWA® Membership#:
Are you: PRO PAN

 

Tell us about your writing experience

 

Unpublished: (the next best thing just waiting to be discovered)
Published: Please check below.
  Published in novel-length Romance: (at least 40,000 words or 160 pages)
  Published in Other: (less than 40,000 words or 160 pages)

 

Category in which you write/are published (check all that apply)

 

Contemporary Historical Regency
Young Adult Romantic Suspense Inspirational
Erotic Romance Paranormal Other
If other, please describe:

 

payment Information

 

Check one: I will pay my dues via PayPal
I will pay my dues by check. Indicate the check Information below:
Check Number:
Date Mailed: