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Romance Writers of America® UTAH/Salt Lake Chapter # 61
Membership Application

To apply for UTAH/Salt Lake Romance Writer Chapter # 61 membership, you must be a member of National Romance Writers of America® or you must join immediately following your membership in the UTAH/Salt Lake Romance Writer Chapter # 61.

Click here to access RWA webiste for National RWA application.

Chapter dues are $36 annually, due by December 31.

If you are RENEWING your membership at any point during the year, your dues are $36.

NEW MEMBEMBER dues are prorated to the month you join. Please follow the schedule below for the amount you need to pay.

Joining URWA in: Please pay:
January $36
February $33
March $30
April $27
May $24
June $21
July $18
August $15
September $12
October $9
November $6
December $3

Paying via PayPal: Click here to pay dues using PayPal.

Paying via Check: Please print and complete manual application and mail to:
Utah Chapter of Romance Writers
c/o Membership Dues
P.O.Box 522365
Salt Lake City, Utah 84152-2365


All information contained herein is confidential.

Date:
NewRenewal
Member Name:
RWA Membership Number:
If published, list Pseudonym:
Address(Str/City/St/Zip):
Preferred Phone:
Other Phone:
Email Address:
WebSite Address
Birthday (optional):
Do you wish to have this information published in the member directory?
YesNo
May we use your photo on our website?
YesNo
If published, list Credits/Publishing House(s):
Please check all that apply:
Published Author: Book Length Romance
Published Author: Other
Unpublished Author
RWA PRO
RWA PAN
Editor
Bookseller
Press Rep
List other professional memberships:
What do you wish to obtain from membership in UTAH/Salt Lake Chapter RWA®
List special interests/areas of expertise:
List any areas you would be willing to volunteer (newsletter, publicity, membership, contests, conference committees, etc.):
Pay using PayPal