Membership Application After you submit the Membership Application you will be redirected to a page where you make your payment. Please enable JavaScript in your browser to complete this form.NEW MemberRENEWING MemberDate *Name *FirstLastCompanyTitleAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneCell PhoneEmail *Website / URLIf you are a member of an affiliate association, enter it here and we will verify.How did you learn about WPN? Which is your primary business category?Small PublisherWriter/AuthorIllustrator/DesignerBook MarketingBook Production - Publishing Services ProviderOtherNote: It is not necessary to have written, designed, or published a book to become a member.Information on yourself and/or your company:Title(s) of book(s) you have authored or published:List works in which you have been involved and state whether you were the author, editor, illustrator, graphic designer, publisher, etc..What type of seminar/workshop would you be interested in attending?Would you be interested in writing articles for the newsletter?YesNoIf yes, please email editor@writersandpublishersnetwork.comWebsiteSubmit
