Referred by:_______________________________________________________
Are you published? _____Yes _____No
Are you RWA PRO®? ____Yes ____No
Book-length Romance: Conventional or E-published/Audio
Novella or short-story romance
Other: ________________________________________________________
Are you a member of PAN (RWA® Published Author's Network)____Yes or ____No
How long have you belonged to RWA®?_______________ Outreach? _____________
Outreach is operated entirely by volunteers. As we add new programs and
services,
we need more people to help out. Would you be willing to add your
name to our list of those
who are willing to assist? _____Yes _____No
Sign me up!
My $15.00 membership fee in Outreach International is enclosed. (Check or
money
order in U. S. FUNDS ONLY.) There is a $25 charge for returned unpaid
checks.
Applications take 4-6 weeks to process. Thank you for your patience.
Signed: ____________________________________ Date: ____________________
Mail application form and check or money order made out to OIRW to:
Outreach International Membership Chair
c/o OIRW Treasurer
PO Box 531541
Cincinnati, OH 45253
or contact the membership chair at: memberat@oirw.net