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.

Please list your membership credentials:

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

New member's dues are pro-rated quarterly: Full from July 1 - September 30; 3/4 from October 1 - December 31; 1/2 from January 1 - Mar 31; 1/4 from April 1 - June 30. (Full dues will be due each July 1 thereafter.)

A $10.00 Installation Fee must be added by all New Members. Click here: if you are rejoining or here: if you are already a member and upgrading your membership class (e.g. Associate to Active).

Please select your method of payment:

Paypal 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).

Check / money order, by mail (payable to SFWA, Inc.)

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