Membership Application Form – Gulf Coast Writers Association

Date *

First Name *

Last Name *

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Writing Genre

Check all that apply.FictionNonfictionPoetryPlayScreenwritingEssayMysteryRomanceScience FictionCopy WritingChildrenMemoir

Current work

Are you currently working on a particular piece of writing?YesNo

Current work desciption (Tell us what you are working on).

If you have a website, please list it here.

How did you find us? How did you hear about GCWA?

Why are you joining GCWA? What do you want to learn from our organization?

Your bio: What else would you like GCWA to know about you? (You can upload an attachment)

File Upload for bio Upload a file with your bio or any other information you would like us to have.

Member Photo Upload Profile Image (250wide x 300tall)

Programs of Interest

Are you interested in any of these programs that GCWA offers? Please mark all that applyWorkshopsSpeaker programsNetworking sessionsCritique groupsOpen mic programBook selling venues

Suggestions for other programs you'd like GCWA to provide

Speaking availability: Are you available for speaking engagements? If so, what is the topic of your presentation?

Volunteer: Are you interested in volunteering to assist GCWA as an officer, in various programs, or monthly meetings? If yes, please indicate your interests.

Infomation on GCWA website

Would you like to have your bio, photo, and/or books published on our website?YesNo

Membership Application

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