R.S.V.P. Date MM slash DD slash YYYY Name* First Last Membership type* New membership Renewal I will be paying* Online By Mail Annual membership dues if you join anytime:*January-MarchTotal $0.00 Total Being Mailed InSouthern California Writers Association P.O Box 47 Huntington Beach, CA 92648 $0.00 Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Phone type* Mobile Landline Work About your writing:I write or would like to write:Fiction: Select All Short Stories Literary Romance Mystery Thriller Science Fiction Fantasy Horror Religious Children's Historical Fiction Young adult and middle grade Non-fiction: Select All Feature articles Essays/OpEd For the web Non-fiction books Technical Trade articles Biographies/Memoirs Copywriting/PR Writing Travel/Outdoors/Nature Social Issues Screen/Stage: Select All Theatre Film Television Religious Children's Poetry: Select All poetry I am a publishing professional: Editor Agent Publisher Other Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code
