BAPWG
 Print this form and fill in by hand or typewriter
Membership Application

To apply for membership, complete the form and print it. Send the sheet and photocopies of applicable work to:

Bay Area Professional Writers Guild
Steve Traiman, President
420 64th Ave., Suite 706
St. Pete Beach, FL 33706

727-363-7531
straiman@mindspring.com
http://www.bapwg.org

Photocopies of your work will NOT be returned.

Include a $25 check to cover the processing fee. Make the check payable to BAPWG.

Dues are extra and are $25 per calendar year. Dues are prorated for members joining mid-year. Send no dues until asked to do so.

If the spaces below are too small, use an additional sheet of paper but number your responses appropriately.

1. NAME  

2. ADDRESS:

 

 

 

  
3: PHONES:

HOME

BUSINESS

CELL

FAX
4: E-MAIL AND WEB SITE:

E-MAIL:

WEB SITE:

5: WRITING SPECIALTIES

 

 

 

 

 

  

6: EDUCATION

 

 

  
7: OTHER LANGUAGES  

8: GENERAL (AND BRIEF) WORK HISTORY:

 

 

 

 

 

 

  
9: HOW LONG WORKED AS A FREELANCE WRITER:  
10: CURRENT FULL-TIME OCCUPATION:  
11: FULL OR PART-TIME WRITER?  
12: HOURS/DAYS AVAILABLE:  
13: GEOGRAPHIC AREA WILL COVER:  

14: WRITING-RELATED EXPERTISE (PHOTOGRAPHY, LAYOUT, ETC.)

 

  

15: WRITING-RELATED AWARDS AND OTHER RECOGNITION:

 

 

  

16: CLIENTS (INCLUDE PUBLICATION NAMES AND DATE.)

 

IN GENERAL:

 

 
ARTICLE OR BOOK TITLE
PUBLICATION OR PUBLISHER
PUBLICATION DATE

1

2

3

4

5

6

    

17: WRITING-RELATED ORGANIZATION MEMBERSHIPS, ETC.

  

18: ANYTHING ELSE PERTINENT TO YOUR WRITING CAREER: