Online Membership Application for the Greater Los Angeles Writers Society

NEW MEMBERS ONLY -- DO NOT USE FOR RENEWALS
Part One: Your Membership Application
	Your Full Legal Name
First Name:		Last Name:
	Your Name as it appears on your method of payment (charge / debit card)
First Name:		Payment Last Name:
	Your Professional Name as you want it on your membership badge
First Name:		Badge Last Name:
Address:
City:		State (Abr):	Zip Code:
Land Phone:		(required) Main E-mail:
Mobile Phone:		Website:

	Tell us about your writing interests and experience
Genre Areas of Interest:	Indicate as applicable, for example: Fiction, Non-Fiction, Short Stories, Screen/TV/ Stage Plays, Novels, Thrillers, Murder Mysteries, Memoirs and Biographies, Science Fiction, Fantasy, Horror, True Crime, Exposé, How-To, Self Help - Spiritual, Self-Help - Physical , Health & Fitness, Cooking, Motivational, Historical, Psychological, Memoirs, Romance, Children's, Young Adult, Poetry, Business, Finance, etc...


Works Written:

Level of Expertise:	Aspiring (unpublished writers of all disciplines with works-in-progress) Active (published author, paid writer, etc.) Supporting (non-writing literary professionals, which includes: librarians, agents, booksellers, publishers, etc.)
How did you learn about GLAWS?
For Couples Writing Team Memberships ONLY
Complete the partner's info below. (not yours) Otherwise, skip and proceed to join
First Name:		Last Name:
Professional Name: (if applicable)
E-mail:		Areas of Interest:
Review Membership Requirements and Dues
Proceed to Membership Registration and Payment
I agree to abide by the Constitution, By-laws, Guidelines, Policies & Procedures of the Greater Los Angeles Writers Society.

Note: As GLAWS is a 501 (c) non-profit with expenses, donations are always appreciated. Your dues and donations MAY be tax-deductible as a business-related expense and/or donations to a non-profit. This is not a legal opinion: PLEASE CONSULT A TAX PROFESSIONAL FOR ADVICE. The information you supply in this application is kept in confidence for internal use only by the society. It will not be available online, or to the public. As a member, you can create your own separate online profile and post it to the GLAWS website. (Note: All areas and levels receive equal membership privileges and respect.)