NORTHEAST GEORGIA WRITERS MEMBERSHIP FORM

NAME:__________________________________________________________

CONTACT INFORMATION:

Address: __________________________________________________________

       City: ________________________________ State: _______ Zip: ______

Phone: (______)-______-_________

E-mail address: _____________________________________________________

I give permission for my contact information to be shared with club members:

_____ via e-mail        _____ newsletter        _____ group website

Signature: ________________________________________________________

As the club always needs officers and working committees to continue good programs,
contests, and award banquets, please check all areas of interest to you:

Officers
Standing committees:
 
___ President ___ Yearbook ___ Summer Picnic
___ Vice President (monthly programs) ___ Hospitality ___ Christmas Party
___ Secretary ___ Telephone Calling ___ Awards Contest Awards Luncheon
___ Treasurer ___ Nominating ___ Membership
___ Parliamentarian ___ Media Publicity ___ Scrapbook
  ___ Other (describe)  

BIO INFORMATION (a few sentences about your writing interests and background).
Please continue on the next page (or on the back of this sheet, if necessary).

 

 

  Mail registration form with the $30.00 (half-year $15 for new members after June) annual membership fee to:  
  Northeast Georgia Writers
4731 Browns Bridge Rd
Gainesville, GA 30504

Click here to print the form