Mail-In STAR Membership Form
City: ____________________ State: ________ Zip: ____________
Daytime Phone incl a/c) ____________________ ??Evening or Cell #: _______________________
E-mail Address: _________________________________________________
Membership Fees enclosed?
(check or money order payable to Spacecoast Authors of Romance):
$45 ___ First-Time Active Member ? ? ? ? ? ? ? ? ??$45 ___ Associate?Membership
$25___ Membership renewal – Please indicate: ____Active or ? ____Associate
Are you a member of RWA*? ?___ Yes ? ? ___ No?????????? RWA Membership Number _____________
*Note: Membership with Romance Writers of America (RWA) is mandatory within 90 days or STAR membership is null and void.
Are you a PAN or PRO Member with RWA?:?Yes, I’m ______
THE FOLLOWING INFORMATION WILL BE ADDED TO YOUR LISTING ON OUR MEMBERS PAGE.
Please list me under ____ my real name ? ? ? _____ my pen name, which is: __________________________________________
My website address: _____________________________________________________
My facebook page: ______________________________________________________
My Twitter page: ______________________________________________________
If you wish to have a bio page, please send the text to email@example.com. You may also include a photo as an attachment to that email. The image must be either a .jpg, .png, or .jpeg and should not be larger than 1 mb.
Print this page and mail with your check to:
SpacecoasT Authors of Romance
P.O. Box 410787
Melbourne, FL 32941