Please right click on this page to print a copy of this form.

Date completed: _______________________

ANNUAL MEMBERSHIP:   □ $25.00   (September 1 to August 31)

Please print clearly & fill in all details

Name:  _______________________________________________________________

Email Address:  _________________________________________________________

Address: ______________________________________________________________

City:  ___________________________________________   Prov:  _______________

Postal Code:  ________________________  Telephone: ________________________

□   Renewing Member                                  □   New Member

Genres you are interested in:   □ Children’s books   □ Creative Nonfiction   □ Fantasy
□ Fiction    □ History    □ Memoir    □ Mystery    □ Nonfiction    □ Playwriting    □ Poetry
□ Sci-Fi    □ Screenwriting    □ Other _____________________________

Please fill in CVWS Membership form and mail with your cheque to:
CV Writers Society
PO Box 3566
Courtenay, BC   V9N 6Z8