SWA Membership Application
Application for Membership in the Seacoast Writers Association
(please download and mail to address at bottom of page)
Name _______________________________________ Date_______________
Street Address _________________________ City _____________ State ______
Zip ______________ E-mail __________________New Member ____Renewal _____
Writing Interests: _____________________________________________________
____________________________________________________________________
Experience Level _______________________________________________________
Workshops I would be interested in for future SWA conferences :
____________________________________________________________________
____________________________________________________________________
Special professional writing skills, background that I would be willing to share in a workshop
or other format:
____________________________________________________________________
____________________________________________________________________
Published Work?
____________________________________________________________________
____________________________________________________________________
Other relevant information you would like us to know:
____________________________________________________________________
____________________________________________________________________
Enclose Check for $20.00 payable to Seacoast Writers Association
Please send with application to:
Michael Wade Registrar, Membership Chair
9 Brookside Drive
Stratham, NH 03885
For additional information you may call Mike (603) 778-8182
or e-mail beekah@comcast.net
Would you prefer your quarterly SWA newsletter mailed, or delivered by email? ______
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