On-Line Application for Membership: Chesapeake Bay Writers

To apply for membership, complete the form, Print a copy, then scroll down to bottom and press the submit button. Please Mail your Payment of Dues within 10 days of filing your application.

Fields preceded by an Asterisk (*) are required of all applicants. Incomplete applications will not be considered.

* First Name + Middle/MI:    

* Last Name:    

Nickname (preferred for Name Tags):

Pen Name (If different):

* Address:  

                    

* City/Town:   * State: * Zip:   

* County:                  

* Phone for Contact (888-222-9999):  

* E-mail:

   URL of Website - if you have one:

*  Applicant’s Writing Interests -- * Primary:      Secondary:

Check this box if you are interested in placing a personal web page on the CBW website (NOTE: You must formally request one within 3 months of acceptance to CBW in order to get it designed for you at no charge. Submit such requests to Webmaster, CBW).

Required: Tell us a little about yourself: (e.g., recent publications, contest wins, current project, anything writing-related)

 

*  Tell us what you expect most from CBW membership: (e.g., fellowship, mentoring, workshops, critique, marketing, venues, etc.)

 

* Date of Application to the CBW Chapter of the Virginia Writers Club (mm/dd/yyyy):   

Are You currently aso a current member of the statewide Virginia Writers Club (VWC)?       

Where did you hear about the Chesapeake Bay Writers? 

Please Print copy and mail with Dues payment ($18 from January to June) or (half price of $9 from July to December) to:

Chesapeake Bay Writers, P.O. Box 385, Port Haywood VA 23138. 

 

IMPORTANT!! If a page entitled "Form Validation Error" appears when you press <Step #2 to Submit>, listing missing or invalid data entries, DO NOT click "Return to Form". Instead, click the "Back" Button on your browser. If you click "Return to Form", all of your entries will be lost.