Louisville Romance Writers Membership/Renewal Application
Please complete this form and submit using the button at the bottom of the screen. Upon submission of your membership application, please remit payment for annual dues in the amount of $20 (subject to change) through Paypal. (Annual renewals due by January 1.) Send payment to Lou_Romance_Writers@hotmail.com. (Please note in comment/note section that payment is for new member dues.) If you prefer to mail payment, please send check or money order (no cash) made out to Louisville Romance Writers, c/o J. Kayse, 5600 Landcross Drive, Louisville KY 40216. If you prefer to submit a hard copy of this application, please print and complete this form or download the PDF version available at LRW's home page and mail to the address listed above along with your payment.
1.
Name: *
2.
RWA membership number (required for membership in LRW)*
3.
Address:*
4.
City, State and Zip Code:*
5.
Phone:*
6.
Email: *
7.
Do you have a website?- Yes No
8.
If YES, please provide the URL for your home page:
9.
What type of RWA membership do you currently have?- General Associate
10.
Your writing level:*- Beginner (have not completed novel-length manuscript) Intermediate (have completed novel-length manuscript but not yet sought publication) PRO (have completed novel-length manuscript and am actively seeking publication) Published
11.
If you answered PUBLISHED, please specify:- Self-published Electronically published and/or print-on-demand published PAN-eligible published ($1,000 minimum advance received or $1,000 earned in royalties or royalties+advance)
12.
If published, please list titles of books, publishers, genre and publication date. Please list additional titles and information as an attachment to this application.
13.
Do you belong to PAN?- Yes No
14.
Do you belong to PRO?- Yes No
15.
In which genres do you write or are interested in writing?- Historical Series Contemporary Futuristic, Fantasy or Paranormal Single Title Contemporary Romanctic Suspense, Single Title or Series Length Erotica Mainstream Inspirational Women's Fiction with Strong Romantic Elements
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If you write, or are interested in writing more than one of these genres, please list below.
17.
What areas of expertise (including your day job) can you educate others about?
18.
Would you be willing to give a teaching/research workshop?- Yes No Maybe
19.
Would you be willing to serve the chapter in some capacity?- Yes No Sometime in the future
20.
What are your needs at the level you write at? This is very important as it helps us develop workshops and programs to fit our writers needs.