|
Guild Application |
| Select
your membership program based upon income received for professional
writing in the previous twenty-four months from the date of this
membership application. International applications welcomed. |
Silver
Member :
under
$50,000 writing income |
$350 per annum |
|
Application
Fee :
Required for all new members |
$50
|
|
| Total
: |
$400
|
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Member
Profile
*
Optional
Fields |
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First
|
Last |
| Legal
Name : |
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First
|
Last |
*Professional
Name :
If
different than above |
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| Citizenship
: |
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| Date
of Birth : |
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| Gender
: |
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| Formal
Education : |
years |
| *Degree(s)
: |
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| Street
Address : |
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| *Apt
# or Suite : |
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| City
: |
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| State/Province
: |
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| Country
: |
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| Zip
/ Postal Code : |
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| Phone
: |
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| *Fax
: |
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| Email
:
Note: Must be Valid |
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| Password
: |
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| Re-enter
Password : |
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| Representation
: |
Agent
Manager
Publicist
None
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| Affiliation
: |
Writers Guild of America |
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Writers Guild of Canada |
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Writers Guild of Great Britain |
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Australian Writers Guild |
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New Zealand Writers Guild |
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Other
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None |
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Screenplays/Scripts Written : |
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| Number
Sold/Optioned : |
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| *Titles
: |
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| *Awards
: |
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| Other
Literary Works : |
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| Number
Published : |
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| *Titles
: |
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| *Awards
: |
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| Choose
Payment Type : |
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