SSWC MEMBERSHIP APPLICATION
ANNUAL DUES (payable on membership date)
Individual $30
Couple $45
Full-Time Student $28
Platinum Senior (70 and over) $28
MEMBER INFORMATION
Name _____________________________
Address ___________________________________
___________________________________
____________________________________
Phone ________________________
Cell (optional) __________________
E-mail _________________________
Genre (include up to 3) See Genre page _____________________
_______________________ _____________________
Bio: Write about 100-150 words about yourself; it will be included on our club website. Please include (if applicable) books published, related career information, writing experience, link to your own website, etc.
Print and fill out the above and bring to the next SSWC meeting.