San Diego Writers and Editors Guild

Username *

Email Address *

First Name *

Last Name *

Date *

Pen Name

Street Address

City

State

Zip Code

Email address--required if you want to receive the newsletter electronically

Preferred Phone Number

Indicate home, work, or cell
Home   Work   Cell

Alternate Phone Number

Alternate Phone
Fax   Home   Work   Cell

Membership Type *
Single $36.00   Dual (married couples) $49.00   Student $20.00

Newsletter Preference
Digitial   Hard copy   Both digital and hard copy

I give permission to use my photo on the website, in the newsletter, and on social media
Yes   No

Other Information (e.g., PO Box, summer address, additional phone number)

Short bio for the membership directory

Registration confirmation will be emailed to you.