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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