Please print out, then complete the application. The mailing address is listed below.  Thanks! 

Name  ______________________________________________________________

Address ____________________________________________________________

City, State, Zip  ______________________________________________________

Phone  ______________________________________________________________

Area of Writing Interest (circle all that apply.)

How did you learn about MRW?  ________________________________________

_____________________________________________________________________

Mail to:  Midwest Romance Authors
                Attn:  Membership
                PMB #342 
                11944 W. 95th Street 
                Lenexa, KS 662158

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