Printable Mail-in Membership Form

 Membership Category:
(Fees payable in Canadian funds only.)
 
____ $130 Professional Author Member (PAM)
 
____ $65 each additional author identity* (Must be a PAM first)
 
____ $88 Associate Member
 
Contact Information:
(Required for registration.)
 
Name (legal)
Address (street)
City, Province, Postal Code
 Email
Phone number
Pen name
(if different from legal name)

 

Please indicate if you accept having your email address or other electronic address of your choice (web address, etc.) appear in the Members Only section of the website, allowing easier connections between members. Your name will appear as a live link. By clicking on it, the person will be taken to the address you provide.

  Yes. Please link the email address on this form.
  Yes. Please use the following link:
  No. I do not want a contact link.

 

*Additional Author Identities: If you are published under more than one name, you can add that name, as a separate identity, for $65. This will allow you to give your other author name its own bio and separate exposure for marketing purposes.

Additional author name(s)

 

DONATION for program development: In addition to my membership dues I want to donate $__________

I am enclosing in total with this form: $____________
 
Please make your cheque payable to Crime Writers of Canada. Send cheque and form to:
Crime Writers of Canada
4C-240 Westwood Road
Guelph, ON  N1H 7W9