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MEMBERSHIP APPLICATION The Detroit
Writer’s Guild Detroit, MI 48234 |
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Name: ___________________________________________ Address: _________________________________________ ________________________________________ City __________________ State ______ Zip______ Tel: (Home) _____________________ (Cell) _______________________ (Work)_____________________ E-Mail ______________________________________ |
MEMBERSHIP DONATION LEVELS:
Regular Member _____ ($50)
Student/Senior Citizen _____ ($25)
Silver Patron _____ ($200 - $400)
Golden Patron _____ ($500+) |
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State Your Interests: Poetry _____ Short Stories ______ Novels_____ Non-Fiction ___ Self-Publication ____ Learning Computers ____ Song Writing ________
Professional Status: Author ____ Poet ____ Agent _____ Publisher ____ Journalist ___ Musician ____
Creative Writing Instructor _____ Other
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Education: GED
_____ High School_____ College (yrs)_____ Talents & Special Skills: (Do You know anything about the following fields and are willing to share your time & knowledge with the Guild) Art _____ Music _____ Dance _____ Graphics ______ Type Setting ____ Word Processing _______ Photography _______ Editing _______ Proof Reading ________ Book keeping _______ Teaching ____
Sales & Marketing _____ Creative Writing _____ Publicity/Fund
Raising ____ Other______________ If You Are A Published Author, List Titles: _____________________________________________________________________________________
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Signature: ________________________________________ Make Check or Money Order payable to The Detroit Black Writer’s Guild and mail to:
The Detroit Writer’s Guild
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