Writers' Guild Membership Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Primary Genre(s) of Writing

Briefly describe your writing background and experience

Have you published any works?

If yes, please list your published works (title, year, publisher)

Are you a member of any other writing organizations or guilds?

If yes, please specify the organizations

Preferred method of communication

Short bio or motivation for joining the Writers' Guild

Signature (please sign below to confirm your application)