R.S.V.P. "*" indicates required fields Date MM slash DD slash YYYY Name* First Last Membership type* New membership Renewal I will be paying* Online By Mail Total Annual membership dues if you join anytime:*April-JuneTotal Being Mailed InSouthern California Writers Association P.O Box 47 Huntington Beach, CA 92648 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 Other About your writing:I write or would like to write:Fiction: Short Stories Literary Romance Mystery Thriller Science Fiction Fantasy Horror Religious Children's Historical Fiction Young adult and middle grade Select AllNon-fiction: Feature articles Essays/OpEd For the web Non-fiction books Technical Trade articles Biographies/Memoirs Copywriting/PR Writing Travel/Outdoors/Nature Social Issues Select AllScreen/Stage: Theatre Film Television Religious Children's Select AllPoetry: poetry Select AllI am a publishing professional: Editor Agent Publisher Other Payment Method*PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
