Membership Application Form

Membership Application Form

PLEASE PRINT AND SEND BY MAIL

FORMFB1

Society of Women Writers

VICTORIA Inc.

A0039632B

73 CHURCH ROAD

CARRUM VIC 3197

NAME......................................................................................................................................................................

ADDRESS...............................................................................................................................................................

TELEPHONE: HOME..............................................................WORK......................................................................

FAX.................................................................EMAIL......................................................................

WRITING INTERESTS:...........................................................................................................................................

ACHIEVEMENTS: (PLEASE ATTACH A SEPARATE SHEET IF SPACE INSUFFICIENT).............................................................

................................................................................................................................................................................

PUBLISHED? YES/NO.......................................................

SIGNATURE OF APPLICANT...........................................................................DATE........................................

SIGNATURE OF NOMINEE...............................................................................DATE........................................

SIGNATURE OF SECONDER...........................................................................DATE.........................................

FEES:

JOINING FEE(ONCE ONLY) $10 - ANNUAL FEE (1 JULY TO 30 JUNE) $30

OVERSEAS $41

FOR THOSE WHO JOIN AFTER 1 JANUARY, THE FEE IS $15 FOR THE

REMAINDER OF THE FINANCIAL YEAR, PLUS $10 JOINING FEE = $25.

MAGAZINE BRANCH MEMBERSHIP $10 EXTRA.

ANNUAL MEMBERSHIP FEE IS DUE AND PAYABLE BY 30 JUNE EACH YEAR.

DOOR FEE FOR MEMBERS EACH MEETING $5.