New Jersey Romance Writers

Name

Pseudonym

RWA ID Number

RWA Registration Name (if different from above)

Email

Published (full-length romance) Yes
No

Published (Other book-length fiction) Yes
No

Address

City

State

Zip Code

Home Phone Number

Office/Cell Phone Number

Website

Please take a moment to answer the following questions:

I would like to volunteer for the following:

NJRW Committee Yes
No

NJRW Newsletter Yes
No

NJRW Contest Yes
No

Contact as needed Yes
No

I would like to receive an electronic newsletter (PDF) in lieu of the printed version. Yes
No

Do you have any suggestions for workshops at our monthly meetings or conference? Please specify type of workshop: Craft, Inspiration, Primary Source, or Other.

I could serve as an Information Resource in the following area(s):

For other suggestions or questions, please contact our membership chair.

Membership Dues are $60.00 and are payable by check or PayPal.
If you are going to be paying by check, please make checks out to NJRW and mail to:
NJRW Membership
P.O. Box 513
Plainsboro, NJ 08536-0513

If you would like to add additional funds for NJRW's Sunshine Fund, please mail to:
NJRW Membership
P.O. Box 513
Plainsboro, NJ 08536-0513