Join Hearts Through History

IMPORTANT! Please be sure to fill in ALL fields on the form. If some fields do not apply to you, fill in a 0 or NA. If some fields are left blank we will NOT get your information. Thank you.

*Given Name  
*RWA National Membership#
New Member? New Returning IMPORTANT!!!
Pen Name
*Street Address
*City, State, Zip
*Email
Website
Phone (day)
Phone (evening)
Phone (cell)
Writing Status

 Beginner
 PRO Eligible
 PRO Member
 Published in nonfiction, articles or books, non romance books, short stories or poetry
 Published in Romance - Book length
 RWA PAN

How Long Have You Been writing
# of Completed Manuscripts
In What Time Period(s) Do You Write?
What Geographic Area Do You Write About
Are You Seeking A Critique Partner? Yes No
Would you like to be part of HHRW's Members Only area? Yes No
HHRW is operated by volunteers. It is crucial that we receive the support and participation of the general membership. Would you be willing to add your name to our list of those who are willing to assist?

 Yes  No

Would you like to donate to the RWA Literacy Program? If so, how much? $
Would you like to donate to the Sheila Conway Perseverance Fund, which helps to support those writers who are unable to cover membership fees due to hardship. If so, how much? $
How will you be paying?

Check Paypal

Paypal email address (if paying via paypal)

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