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Name:
|
_________________________________________________ |
|
Address:
|
_________________________________________________ |
|
City:
|
____________________ |
State:
|
________ |
Zip: |
____________ |
|
Daytime
Phone incl a/c)
|
____________________ |
Evening
#:
|
_______________________ |
|
E-mail
Address:
|
_________________________________________________ |
|
Membership
Fees enclosed?
(check or money
order payable to STAR):
|
$
40 ___
$ 20 ___
|
First-Time
Member (or lapsed STAR membership)
STAR Membership Renewal / |
|
|
|
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Are
you a member of RWA?
|
______
Yes
|
RWA
Membership Number ________ |
|
______
No
|
Note:
Membership with Romance Writers of America (RWA) is manditory
within 90 days or STAR membership is null and void. |
|
Are
you a PAN Member with
RWA?:
|
______
Yes
|
|