Dunes & Dreams Romance Writers

Membership Application

Membership Form
Questions marked by * are required. Please complete the form electronically or print and mail to Dunes & Dreams RWA, C/O Candace Goldapper, Treasurer, 207 Sixth Avenue, Holtsville, NY 11742.
1.	I agree to the terms of membership in Dunes & Dreams RWA * Yes No
2.	Applying for: * General Membership Associate Membership
3.	Name: *
4.	Pseudonym
5.	Email: *
6.	Address *
7.	Phone Number
8.	RWA Number *
9.	PAN Member Yes No
10.	PRO Member Yes No
11.	Published in romantic fiction Yes No
12.	Website Address
13.	How did you hear about Dunes & Dreams RWA?
14.	Interested in Volunteering? Board Events Programs Newsletter Other
15.	Making Payment by * Check by mail Cash at the next meeting Paypal (note: paypal button is on the thank-you page after your application is submitted.)