Science Fiction and Fantasy Writers of America, Inc.

Application for Membership

Date:

According to the By-Laws of SFWA, Inc., there shall be five classes of membership in the corporation: active, associate, affiliate, estate and institutional.

Please select your membership class from the following:

See the Membership Requirements for categories of membership and definitions of which credits will be accepted for membership.

A. Active
B. Associate
C. Affiliate
D. Institutional
E. Estate

Please list your membership credentials:

Title Length (words) Payment ($) Publisher/Producer [*] (for anthology include title and publisher) Date of sale Date of Publication

1.

2.

3.

* Note that only publishers listed on the list of Qualified Professional Markets may be listed here. If you have a sale to a market not listed there, you should check the list of Other Venues and if not there, you should seek to get it listed.

Your Name: for membership purposes

Alternate Name (Pseudonym/Real):

Agent & agency:

Mailing Address:

City:

State:

Zip/postal code:

Country if not US:

For the directory (note, address is also listed in the directory):

Telephone:

E-mail:

Web site:

Fax#:

Contact information for application questions (if different from above; not for directory):

Telephone:

E-mail:

If you are applying for an affiliate membership, please list your three references in the "Title" box above and indicate the nature of your affiliation here:

Enter any relevant comments here (additional qualifying sales, etc.):

With application and proof(s) of publication (such as: photocopy of copyright page [for novels], or table of contents of magazine(s) in which your story appeared; photocopy of advance check; photocopy of contract), please remit your dues check or money order in U.S. funds, payable to SFWA, Inc., in the following amounts:

Active/Associate/Estate$70.00

Affiliate$55.00

Institutional$80.00

New member's dues are pro-rated quarterly:

July 1 - September 30; 100%

3/4 from October 1 - December 31; 75%

1/2 from January 1 - Mar 31; 50%

1/4 from April 1 - June 30. 25%

(Full dues will be due each July 1 thereafter.)

A $10.00 Installation Fee must be added by all New Members.

Rejoining?

Upgrading? (If you are already a member and upgrading your membership class (e.g. Associate to Active).)

Please select your method of payment:

Paypal

Check / Money Order by mail (payable to SFWA, Inc.)

Note for Active or Associate membership you must still either (a) print this application and mail it with your proof of credentials -OR- (b) fax (or email scanned copies) of your proof to the address/number below (print a copy of this for your records, just in case).

Once you have filled out this form, submit it by clicking here:

			Send form, proofs, and dues to:             ~Office Use Only~
			Jane Jewell, Executive Director             Received/Logged___________________
			SFWA, Inc., PO Box 877,   
			Chestertown MD 21620                        Check No._________________________
			Fax: 410-778-3052
			Email: execdir@sfwa.org

We respond to membership applications in the order they are received. If it’s been more than five (5) business days since you submitted your application and you haven’t heard from us yet, you may query on the status of your application here.

Title	Length (words)	Payment ($)	Publisher/Producer [*] (for anthology include title and publisher)	Date of sale	Date of Publication
1.
2.
3.
* Note that only publishers listed on the list of Qualified Professional Markets may be listed here. If you have a sale to a market not listed there, you should check the list of Other Venues and if not there, you should seek to get it listed.