Missouri Writers Guild

Please refer to the Membership Requirements menu item for any questions about elgibility requirements.

Date
Name
Address
Phone
Fax
Email
Book 1: Genre
Sold to: (full address)
Date Sold:
Date Published:
Amount Paid:
ISBN:
Book 2: Genre
Sold To:
Date Sold:
Date Published:
Amount Paid:
ISBN:
Book 3: Genre
Sold To:
Date Sold:
Date Published:
Amount Paid:
ISBN:
Brief Bio: (for publication on the website once the application is approved)
Comments:
You will be contacted once your application has been decided. If it is approved, you may submit the appropriate membership dues by check or money order payable to Missouri Writers' Guild to Steve Wiegenstein, Treasurer 4700 Roemer Rd. Columbia, Mo. 65202 Or via PayPal in order to make your membership official.