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Membership
Application Form & Payment

Membership Status
New Member
Membership Renewal
Today's Date
Month
Day
Year
Our group is only as great as our active members.
Has your writing been published?
YES
NO
In what genres do you write?
What topics would you like to be covered at our meetings?

Please read this statement & indicate your willingness or objection to be be photographed/videorecorded below:

Acknowledgement:


As a member of Neuse River Writers, I am aware that the organization 

electronically records the member meetings. As such, my image and/or voice may be recorded either in photographs, video, or audio media.

If I do NOT wish to be in the final version of the photographs, video, and/or audio that NRW records, I will provide NRW with my picture  and a written one-sentence request to be edited out of the final cut.

NRW will make every attempt to accommodate my request, but I

understand that NRW cannot guarantee that I may be partially seen in the final edited media.

I acknowledge my willingness to be photographed, videorecorded, and/or audiorecorded:

I agree to be photographed & electronically recorded.
YES
NO

Whatever your answer, this page will be added to your membership  application. If you answered YES, thank you.

*If your answer is NO, thank you, AND please email your one-time request to Charles Clemmons, along with your photograph to:

cmclem43@gmail.com.

Membership Fees due in January

Individual Membership - $25.00 per year

Couple's Membership - $35.00 per year


Membership Fees for July-December Only

Individual Membership - $12.50

Couple's Membership - $17.50


Enter your Membership fee payment amount here & Submit:

Membership Fee Payment
$
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