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SPAWN Membership/Renewal Application (Offline)If you would like to sign up online, please use this link. If you would like to print and mail your payment, you may either print out this page (choose File|Print) or download this PDF file and print it out. DATE ______________________________ NAME ______________________________ TITLE ______________________________ COMPANY ______________________________ ADDRESS ______________________________ _____________________________________ CITY ______________________________ STATE ______ ZIP _________________ BUS. PHONE (____)____________________ HOME PHONE (____)_____________________ FAX (____)____________________ E-MAIL _______________________________ WEB SITE______________________________ NEW Member ____ RENEWING Member ____ Do not list home phone home address on Web site in Member Directory Information on yourself and/or company: ______________________________ ______________________________ ______________________________ Title(s) of book(s) you have authored and/or published: ______________________________ ______________________________ ______________________________ Note: The above will appear in our directory and on our Web site. Please limit to 40 words. List works in which you have been involved and state whether you were the author, editor, illustrator, graphic designer, publisher, etc. ______________________________ ______________________________ ______________________________ If you are not involved in publishing, please state your major areas of interest. ______________________________ What type of seminar/workshop would you be interested in attending or presenting? Attending: ______________________________ Presenting:______________________________ Which book do you prefer to receive as your Gift? (Due to high mailing costs, members outside the US please choose an e-book.) E-books: Would you be interested in writing articles for the newsletter? Yes ____ No ______ If so, contact Senior Editor of SPAWNews at 805-646-3045; e-mail editor@spawn.org. How did you hear about us? ______________________________ SPAWN membership dues are $65 per year. Members’ spouses and business partners at same address may join for only $32.50. Complete a separate application for each member.Enclosed is $__________ for ______ member(s) Please send the completed application and a check for dues to SPAWN Small Publishers, Artists & Writers Network
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