PSWA Online New or Renewal Membership Application

Application Type*

New Member

Renewal

Memberships

Membership fee:*

One year ($65)

Corporate Sponsor for one year ($250)

Name:*

First

Last

Pseudonym or other name you use professionally:

E-mail:*

Address (used only if we can't contact you by email or phone):*

Street Address City State / Province / Region Postal / Zip Code

Phone:*

Area Code

-

Phone Number

Alternate Phone:

Area Code

-

Phone Number

Web Page

If you are a new member, how did you hear about us?

Published titles, if any. If you are renewing, list works published since you last renewed.

After you click the Submit button, you are taken to PayPal to pay your membership fee. You do not need a PayPal account just click the use credit card link under the login box.