KANSAS WRITERS ASSOCIATION
9415 E Harry St, Ste 603
Wichita, KS 67207 www.kwawriters.org
Our mission is to inform, support, encourage, and promote the writer.
Membership Application
KWA will not release information without the member’s consent (Check all that apply)
I am a: New Member Renewing Member Adult (18 years or older) Youth (Under 18)
RATES:
- $20/year for an adult (above 18) membership
- Youth memberships (under 18) are FREE
Name Pseudonym(s)
Address line 1 Email
Address line 2 Website
Address City, State Zip Code Twitter
Phone Facebook/Other
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KWA maintains a Members-Only Roster. Indicate what information, if any, you would like to make available to fellow members:
_____ Name _____ Address _____ Phone. _____ Email
_____ Website _____ Bio/Publishing ______ Twitter. _____ Facebook
KWA maintains a Public website. Indicate what information, if any, you would like to make available to the Public.
_____ Name. _____ Address. _____ Phone _____ Email
_____ Website. _____ Bio/Publishing. _____ Twitter. _____ Facebook
If you prefer that NO INFORMATION is shared with Members or the Public, please check the box below.
_____ Do not share any of my information
Signature Date
Mail the completed application to the address above, along with your check or money order (no cash) made out to KWA, or apply at our monthly meetings.
The Kansas Writers Association is a not-for-profit, 501(c)(3) organization.