SISTERS IN CRIME - MIDDLE TENNESSEE CHAPTER

www.sistersincrimemiddletennessee.org

Membership Form

(Circle one)

New   Renewal   Rejoining   Past Member

 

NAME: (Ms. Mr. Mrs.)__________________________________________________________

 

ADDRESS: ___________________________________________________________________

 

CITY:____________________________________ STATE:__________ ZIP:_______________

E-MAIL: _____________________________________________________________________

 

PHONE:______________________________ FAX:____________________________________

 

PROFESSIONAL MEMBERSHIP:

Please check all that apply:

[ ] Published Crime/Mystery Writer

[ ] Unpublished Crime/Mystery Writer

[ ] Published in another fiction genre or in non-fiction, journalism, etc.

[ ] Editor

[ ] Agent

[ ] Publicist

[ ] Blogger

[ ] Reviewer

ACTIVE MEMBERSHIP:

[ ] Reader

[ ] Librarian

INSTITUTIONAL MEMBERSHIP (limited to publishing-related entities in the Nashville Metro Area):

[ ] Bookseller

[ ] Library

[ ] Publisher

[ ] Other, please describe: ________________________________

CHAPTER ANNUAL DUES:                 $15.00     Paid_______________

Make checks payable to Sisters in Crime Middle Tennessee

Return this form with payment by check to:

Bob Mangeot

SinC-Middle Tennessee Secretary/Treasurer

212 Hatton Place
Franklin, TN 37067

Sisters in Crime Middle Tennessee is not a 501(c)(3) tax-exempt entity.

Dues and other donations to Sisters in Crime Middle Tennessee are not tax-deductible.

Membership in Sisters in Crime, Inc. (National) is required for Chapter membership.

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