APPLICATION FOR MEMBERSHIP (Printable Version) NAME                                                                                          ADDRESS                                                                                    CITY                                                                                             STATE               ZIP                    COUNTY                                                                                     PHONE                                                                                        E-MAIL ADDRESS                                                                    REFERRED BY                                                                          WRITING INTERESTS                                                                                                                                                                   MEMBERSHIP TYPE                                                                (A) Adult Membership - $20 per year (S) Student Membership - $10 per year (Y) Youth Membership (under 18 years of age) $5 per year Due annually on July 1 MAIL CHECK AND APPLICATION TO: WEST VIRGINIA WRITERS, INC. 202 North Lee Street, Lewisburg, WV 24901 Questions?  Call 304-645-2749 or write stonemanse@verizon.com