Public Safety Writers Association
New Membership OR Renewal
Type of Membership Requested (check one):
☐ | Writer Membership—One Year $55.00 | |
☐ | Writer Membership—Two Years $$100.00 | |
☐ | Writer Membership—Three Years $135.00 | |
☐ | Corporate Sponsor–$250.00 per year. Includes all “Writer Membership” benefits plus a listing in each quarterly issue of The Public Safety Writer newsletter. | |
Membership Name: | ||
Pseudonym (if any): | ||
Mailing Address: |
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City, State, Zip | ||
Preferred phone: | ||
Other Phone: | ||
Email address: | ||
If new, how did you hear about us? | ||
Previously published works, if any (use a separate sheet if needed): If you are renewing, just list works since you joined or your last renewal.
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If new, a short biography, including your public safety affiliation (use a separate sheet if desired):
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Payment: enclose check, money order or purchase order payable to Public Safety Writers Association.
Return this completed application to:
Public Safety Writers Association
PO Box 250
Olalla, WA 98359