ROSA 2021-22 Membership Application
Information provided on this form will be used for administrative purposes only and will not be distributed.
Membership Fees 2021-2021
This membership application form is only for:
* 2021 Strelitzia mentors
* Members applying for financial assistance for their membership fees
Name *
Pen Name (if applicable):
Birthday (Day, Month)
MM
/
DD
Are you a new or existing member? *
Required
Existing membership number (if applicable):
Please refer to the membership renewal notice you received for your membership number.
Primary email address: *
Secondary email address:
Cell phone number: *
Would you like to be added to your local chapter's WhatsApp group, if there is one? *
Required
If there is no chapter in your area, would you be interested in leading one?
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City/town of residence: *
Writing support services:
Do you provide professional services to other authors (editing, cover design, marketing, graphic design, book reviews, financial services etc) which you would like to promote to other members? If so, please provide information on the services you offer and/or a website link.
Are you currently...? *
Please check all applicable boxes
Required
Sub-genres you write in *
Required
How did you hear of ROSA? *
Required
Are you willing to volunteer for ROSA? *
For more information on these volunteer opportunities, and what the various positions entail, visit our website at https://www.romancewriters.co.za/volunteers
Required
Thank you for renewing your ROSA membership.
Please continue to Section 2 of this form if you are a published author.
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