Join CWC Mt. Diablo

CWC membership period runs from July 1 – June 30. ALL applications must be made online using this form. Payments may be made by credit card, PayPal account, or check. See the instructions below for where to mail your check if choosing that option.

Special Deals on Membership Rates

Partial Year Discount if you join in January – April)
You will receive a reduced rate of $42.50 for this year’s Active or Literary Professional membership.

End of Year Special if you join in May or June
Your membership will begin immediately with no charge for the remaining month(s) in this fiscal year. We will apply your payment of $65.00 ($25 for dual members or $15 for students) to next year’s membership.

Thank you for your support!

Questions about membership? Email Dot Edwards at membership@cwcmtdiablo.org.
Having problems with this form? Email Marlene Dotterer at webmaster@cwcmtdiablo.org.

Membership: New Member Application: CWC Mt. Diablo Branch

Step 1 of 4

25%

If applying for student membership, please tell us your age

12 or younger

13-17

18 or over

We must have permission from a parent or guardian for you to join. Please provide the name and email address where we can contact your them, then continue with the application and submit it when you are finished. We will process your application when we have received consent.

Parent's Name

Parent's Email Address

Thank you! Please continue with your application.

As participating members of the California Writers Club-M. Diablo Branch, minors may occasionally be exposed to content rated above PG-13.

Personal Information

Name(Required)

First Last

Address(Required)

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Email(Required)

Phone: Cell(Required)

Phone: Alternate

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Your Writing Career

We welcome all writers, from beginners to published and famous.

Pen Name (if applicable)

First Last

Do you have professional (writing) social media account? Provide the links below (optional).

Website

Blog

Facebook

Instagram

Previous/Current Writing Experience (optional).

Title of Work

Status of Work

SelectPublishedUnder ContractIn Progress

Brief Description

Title of Work 2

Status of Work 2

SelectPublished (Included Date)Under ContractIn Progress

Brief Description

Title of Work 3

Status

SelectPublished (Include Date)Under ContractIn Progress

Brief Description

Please check all the genres in which you write.(Required)

Action Adventure

Blogging

Children’s

Crime

Essay

Fantasy

General

Historical

Humor/Satire

Horror

Journalism

Literary

Memoir/Bio

Middle Grade

Mystery

New Adult

NF – Business

NF – How To

Playwriting

Poetry

Romance

Science Fiction

Screenwriting

Spiritual

Technical/Scientific/Medical

Thriller

Travel

Western

Women’s

Young Adult

This field is hidden when viewing the form

How did you hear about CWC?

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Help Us Help You

What are you looking for in CWC by joining our branch? (Optional)

Your suggestions will help us make your membership worthwhile!

How did you hear about CWC Mt. Diablo?(Required)

Word of Mouth

Meetup

Local Newspaper

Instagram

Facebook

Internet

Another CWC Branch

Other

OPT-IN to receive our newsletter, The Write News, and other emails from us regarding upcoming events (The CWC News).(Required)

Yes

No

OPT-IN to our Member Directory(Required)

Yes

No

We will add you to the Member Directory. You will receive an email with your user name and password, as well as information and instructions for using the Member Directory.

Can you support Mt. Diablo by volunteering?

I would be available to help participate with a specific program or event

I would like more information about committees or chair opportunities

I would like more information about becoming part of the board

I can help occasionally with an event

I have technical skills in Word Press website, social media, accounting

Other

I cannot volunteer at this time.

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Here is the Part Where You Join.

If applying for student or dual membership, please indicate your school and grade, or primary CWC branch.

Please select the the button corresponding to your application date.

July – December

January – April

May – June

NOTE: Be sure to choose the appropriate button in the selections below. If you are a writer (unpublished or published), or have an interest in writing, choose Active Membership.

If you are not a writer but work in a writing-related field, choose Associate Literary Professional Membership.

For more information, go HERE to determine the Membership Status for which you should apply. The page will open in a separate tab so you won’t lose your place in this form.

Select Your Desired Membership Level.

Active Membership (Full Year) $65

Associate Literary Professional Membership (Full Year) $65

Dual Membership $25

Student Student Membership $15

Select Your Desired Membership Level. PARTIAL YEAR DISCOUNT: Our memberships expire each fiscal year on June 30th. Therefore, we are charging you a reduced rate for this year's membership.

Active Membership (Partial Year) $42.50

Associate Literary Professional Membership (Partial Year) $42.50

Dual Membership $25

Student Membership $15

Select Your Desired Membership Level. END OF YEAR SPECIAL: Our memberships expire each fiscal year on June 30th. Therefore, we are giving you this year's remaining month(s) for free and will apply your payment to next year's membership.

Active Membership (Includes Next Fiscal Year) $65

Associate Literary Professional Membership (Includes Next Fiscal Year) $65

Dual Membership (Includes Next Fiscal Year)$25

Student Membership (Includes Next Fiscal Year) $15

If you have a Coupon Code, enter it here.

Total

How would you like to pay?(Required)

PayPal, Debit, or Credit Card

Check or Cash

When you finish filling out the form and click the SUBMIT button below, you will be taken to a PayPal login page to finish the payment process.
If you do not have a PayPal account, click on “Pay with Debit/Credit Card.”

PAYING BY CHECK

Upon submitting this form, you will receive a confirmation email with a pdf copy of this form attached. Print the pdf and mail with your check payable to “CWC-Mt Diablo” and write “New Member Application” in the memo space.

Please mail check to:
CWC-Mt Diablo
P.O. Box 606
Alamo, CA 94507

Total

We do not share your personal information with anyone without your express permission. See our Privacy Policy.

Consent

I agree to the privacy policy.

If you experience problems with this form or the PayPal portal, email Marlene at webmaster@cwcmtdiablo.org.

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