PAWS Member Information Form
Print out and mail to the current PAWS' treasurer.  To get treasurer's address, e-mail webmaster.
Date Applied  
Founding  
Charter  
Regular  
OWFI Y  or  N

LAST  NAME:  ___________________________________      FIRST NAME:  _________________________

ADDRESS:  _______________________________________________  E-MAIL: _____________________________________

CITY:  ________________________________  STATE:  ____________  ZIP CODE:  ____________________

HOME PHONE:  _______________________  BIRTHDATE:  _______________________________________

WORK PHONE:  _______________________  OCCUPATION:  ____________________________________

1.    PUBLISHED:  Y     N       LIST:  __________________________________________________________________________

2.    I AM INTERESTED IN: (Check all that apply then specify any particular areas you're interested in; e.g. under romance, you
       might write Regency, western historical, viking...)
 
____ Romance
specify:
____ Mainstream
specify:
____ Other Genre
specify:
____ Non-Fiction
specify:

 

3.    OTHER WRITER'S ORGANIZATIONS YOU BELONG TO:  ________________________________________
_____________________________________________________________________________________________

4.    ARE YOU INTERESTED IN ATTENDING WRITERS' CONFERENCES AND SEMINARS?  (LIST)  ________
______________________________________________________________________________________________

5.    WHAT ARE YOUR WRITING GOALS?  _________________________________________________________
______________________________________________________________________________________________

6.    WHAT TYPES OF PROGRAMS WOULD HELP YOU MOST IN ACHIEVING #5?  ______________________
______________________________________________________________________________________________

7.    CHECK WHICH INFORMATION YOU WANT US TO LIST IN OUR PRINTED MEMBER DIRECTORY (FOR MEMBERS ONLY):

_____  NAME    _____  ADDRESS    _____  E-MAIL    _____  PHONE #'S    _____  WEB PAGE

8.    CHECK WHICH INFORMATION YOU WANT US TO LIST ON OUR WEB PAGE (UNRESTRICTED ACCESS):

_____  NAME    _____  ADDRESS    _____  E-MAIL    _____  PHONE #'S    _____  WEB PAGE

9.     DO YOU WISH TO BE AFFILIATED WITH OKLAHOMA WRITERS' FEDERATION, INC.?

        _____  YES        _____  NO        _____  NOT AT THIS TIME

DUES:  $10 YEARLY FOR PAWS        $15 YEARLY FOR OWFI        $25 YEARLY FOR BOTH

THIS INFORMATION IS EXCLUSIVELY FOR PAWS' MEMBERS AND WILL NOT BE GIVEN OUT WITHOUT PERMISSION OF THE MEMBER

I AGREE TO ADHERE TO THE BYLAWS OF THE PROFESSIONAL AND AMATEUR WRITERS' SOCIETY.

SIGNED:  _________________________________________________________________________________

Received By:  __________________________________________________  Dated:  ______________________

Forwarded to Editor:  ____________________________________________  Date Rcvd:  ___________________

Forwarded to Secretary/Treasurer for permanent files:  _________________________________________________

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