Society of Southwestern Authors
Application for Associate Membership

Please write legibly!

Date:

Name:   Address:
City:     State:     Zip:

Phone: Fax: E-Mail:

website:

A-Associate membership is open to any individual who demonstrates to us an interest in becoming a Professional writer, a Commercially Published author, or a Self-Published author, and who seeks active participation in SSA writing conferences, workshops, special events and forums in order to improve his/her skills and reach desired goals.

Please fill in all the following:

I was introduced to the SSA by

I am currently writing

In the Past I have written:

I am especially interested in (genres)


Information for Directory

On the two lines below, allowing 70 spaces per line, please write what you would like to tell others know about your writing, and as you would like this information printed in the Directory. Include key words; book titles, children's stories, genre(s), mystery, adventure, mainstream, war, crime, poetry, etc.

Fees

Initial Membership: $30.00     Dues for one year: $30.00

Please remit total fees of $60 with application to:
SSA, PO Box 30355, Tucson, AZ 85751

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