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Membership Fee- $35.00 * = required field
Referred By:
PERSONAL INFORMATION
Mrs.
Ms.
Mr.
First Name*
Last Name
Home Address
Apt. No.
City
Province
Postal Code
Phone
Fax
Mobile Phone:
Email Address*
Business information
Business Name
Address
Province
Postal Code
Phone
Fax
Email Address
Preferred Contact Location:
Home
Office
Have you attended any WEN events?
Yes
No
Can we include you in the WEN directory?
Yes
No
Can we include you in promotional publications?
Yes
No
Please complete the following section to help us plan events and programs. Check all that apply.
Current Focus
Writing
Editing
Publishing
Agent
Other:
Do you belong to any similar organizations?
CAA
EAC
PWAC
WCDR
Other:
Which of the following benefits are of interest to you?
Networking
Book Review
Business advice
Newsletters
Workshops
Member Discounts
Volunteering
Mentoring
Web Site
Other:
Which of the following topics are of interest to you?
Writing
Editing
Publishing
Financial Backing
Book Launch
Agents
Technology
Publicity
Promotions
Other:
Please do not mail cash. Cash transactions should be made in person, at meetings.
Please print the completed form before submitting it. You can mail in your printed form, along with your cheque, to the address below
.
Please mail your membership form, along with your cheque made payable to:
WEN (Writers & Editors Network)
6006 Prairie Circle, Mississauga, ON
L5N 6B1
PH: (905)824-5035 FAX: (905)248-5430
E-mail:
membership@wenetwork.org
www.wenetwork.org
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Copyright 2001-2007 Writers & Editors Network Association. All Rights Reserved.
Writers & Editors Network, 6006 Prairie Circle, Mississauga, ON L5N 6B1, Ph: 905.824.5035 Fax: 1(905) 248-5430
info@wenetwork.org