CB Writers Membership Application Form
First Name:
Last Name:
Email:
Address:
City: State: Zip: Country:
Phone #: () - -
MEMBERSHIP RATES: $20 New member Fee for Current Year (paid Jun 16 to Jan 31)
$20 New member Fee for Current & Next Year (paid Feb 1 to Jun 15)
$20 Late Renewal Fee for Current Year (paid Jun 16 to Jan 31)
$15 Renewal Fee for Next Year (paid Feb 1 to Jun 15)
May we publish your phone # in our roster? Yes No
May we publish your email in our roster? Yes No
Are you published? Yes No
Publisher:
Published in:Check all that apply
Nonfiction
Fiction
Screenplays
Genre:
Book Link 1:
Book Link 2:
Bio:
Dues are $20/year for new members, $15 to renew, annual renewal June 1 to June 1. This fee includes admission to Crested Butte Writers loop, discount at annual June conference, discounted Sandy entry, publicity opportunities on the CB Writers website, and promotional opportunities for published authors.

Your contact information will not be given to anyone outside of CB Writers without your permission. We will make this information available to members within CB Writers for writing-related purposes (i.e. identifying prospective critique group members, promotional mailing lists for CB Writers published authors) only.

I understand that CB Writers is an organization dedicated to the support, encouragement, and education of writers seeking publication in fiction and non-fiction, and as such, programs, conferences, and other activities are in support of that endeavor.
By signing & dating below, I am indicating I have read & understood the above:
Signature: Date:
1) Press Submit button to JOIN and ensure you see successful info submission indicated by 'Message sent successfully From: ...'
2) Then press Pay Now button to pay.
3) Then choose whether to subscribe to CB Writers Loop.
Enter Email address below & click on Yahoo! button to subscribe:

Subscribe to
CrestedButteWriters Loop



Powered by us.groups.yahoo.com

Alternative snail mail option: