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.
Rt 1 Box 296
Clarksburg, WV 26301
Questions? Call 304-624-6621
or write henryp1965@aol.com
WEST VIRGINIA WRITERS, INC.
Rt 1 Box 296
Clarksburg, WV 26301
Questions? Call 304-624-6621
or write henryp1965@aol.com