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
___ Treasurer  ___ Nominating 
and Awards Luncheon
___ Parliamentarian ___ Media Publicity ___ Membership
___ Newsletter Editor   ___ 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 annual membership fee to:

Northeast Georgia Writers
c/o: Marianne Scott
719 Robin Hood Trail
Gainesville, Ga 30501

Click here to print the form