BRW Membership

Join BRW!

Please provide your personal information to begin your membership registration.

First name

Last name

Email address

Address

Address -2

City

State

Use two letter abbreviation, e.g., VA=Virginia; NC=North Carolina

Zip Code

Use five digit zip code 12345

Phone Number

Use this format: (123) 456-7890

Annual Membership Dues

Annual Membership ($25/year)

I paid through BRW Meetup Site

Select your membership status:

I am a new BRW member

I am renewing my BRW membership

Annual dues are not prorated and cover current year only. Annual dues are charged in January for the new calendar year.

Please send this form, along with $25 by check to

Blue Ridge Writers

c/o Brenda Morris

148 Blue Ridge View Lane

Palmyra, VA 22963

Brenda's email

Optional Donation

$10

$25

Other

Donations are for BRW contests, Book Fair, and general needs.

If you wish to make a donation, please add the amount to your membership check.

To print this form using Windows, right click mouse or Ctrl P keys to pull up print dialog box. Using Mac, press Command + P keys.